Krista Elizabeth Ball, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Selbyville, DE

NPI 1730451600 · NPPES record last updated Feb 7, 2012

Key facts

NPI
1730451600
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
A01884 (MD)
Practice address
37909 Eagle LN Unit 453
Mallard Lakes
Selbyville, DE 19975-4645
Phone
(410) 726-9462
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A01884MDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A01884 MD Yes

Addresses

Primary practice location

37909 Eagle LN Unit 453
Mallard Lakes
Selbyville, DE 19975-4645

Mailing address

37909 Eagle LN Unit 453
Mallard Lakes
Selbyville, DE 19975-4645
Phone (410) 726-9462

Other providers in Selbyville, DE

All providers in Selbyville, DE · Occupational Therapy Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.