NPI 1174867600

Tanya Dawn Ballenger, COTA

Practitioner Occupational Therapy Assistant Beckley, WV

Practice location

Address: 405 Stanaford Rd, Beckley, WV 25801-3143
Phone: (304) 252-6317
Mailing address: 40 Smokey Branch Rd, Danese, WV 25831-7720

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence C1512 (WV)

Other Occupational Therapy Assistant providers in West Virginia →

Registry record

NPI: 1174867600
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

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.