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NPI Code Detail

MEDICARE: ALLYSON BALLARD

MEDICARE: ALLYSON BALLARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1598205999
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON BALLARD
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 866-448-9543
Fax Number :
Provider Business Practice Location Address
First Line : 3817 COLONEL GLENN HWY
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45324-2268
Country : US
Telephone Number : 937-427-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2017
Last Update Date : 10/27/2023

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