JULIE SUZANNE BALLAST

CARTERSVILLE, GA
NPI1801365465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT007423)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TN  6056)
Enumeration Date2018-11-13
Last Update Date2025-01-12
Business Address
JULIE SUZANNE BALLAST MSOT, OTR/L
110 CHEROKEE PL
CARTERSVILLE, GA 30121-2954
Phone number: 770-386-6300
Mailing Address
JULIE SUZANNE BALLAST MSOT, OTR/L
950 E MAIN ST APT 320
CARTERSVILLE, GA 30121-2273
Phone number: 989-287-1460