Individual
KELLY SUE DIFFIN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
114 BARBARA ST, CADILLAC, MI 49601-2446
(231) 775-1851
Mailing address
114 BARBARA ST, CADILLAC, MI 49601-2446
(231) 775-1851
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006887
MI
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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