Carol Ballard
Individual provider Active NPI Occupational Therapy Assistant · Safford, AZ
NPI 1902201759 · NPPES record last updated Oct 22, 2014
Key facts
- NPI
- 1902201759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5172 (AZ)
- Practice address
- 1933 W Pepper Tree Dr
Safford, AZ 85546-4048 - Phone
- (928) 428-4910
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5172 | AZ | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5172 | AZ | Yes |
Addresses
Primary practice location
1933 W Pepper Tree Dr
Safford, AZ 85546-4048
Mailing address
1933 W Pepper Tree Dr
Safford, AZ 85546-4048
Phone (928) 428-4910
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- Barnet Dulaney Perkins Eye Center
- Barnet Dulaney Perkins Eye Center, PC
- Barnet Dulaney Perkins Eye Center, PC
- Barnet Dulaney Perkins Eye Center, PC
- Barnet Dulaney Perkins Eye Center, PLLC
All providers in Safford, AZ · Occupational Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.