NPI 1003478702
Autumn Ballard, COTAL
Practice location
- Address
- 935 Wayne Rd, Savannah, TN 38372-1904
- Phone
- (731) 727-8010
- Mailing address
- 65 Shannon Ln, Counce, TN 38326-2044
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003478702
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jul 2019
- Record last updated
- 2 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.