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1548603905
JENA RAE BALLARD
ELIZABETHTOWN, KY
NPI
1548603905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A5423)
Enumeration Date
2013-04-16
Last Update Date
2019-06-04
Business Address
JENA RAE BALLARD COTA/L
529 WESTPORT RD
ELIZABETHTOWN, KY 42701-2923
Phone number: 270-763-8225
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Mailing Address
JENA RAE BALLARD COTA/L
289 WILSON CREEK RD
COXS CREEK, KY 40013-7577
Phone number: 502-827-3836
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