Individual
AMY BALLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
223 BEDFORD ST, GARDNER, KS 66030-1185
(913) 856-6520
Mailing address
541 E MOCKINGBIRD ST, GARDNER, KS 66030-1837
(402) 981-7644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702275
KS
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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