Provider Demographics
NPI:1659656205
Name:BALL, ALLISON M (BA & SCSS)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:M
Last Name:BALL
Suffix:
Gender:F
Credentials:BA & SCSS
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Mailing Address - Street 1:2350 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3018
Mailing Address - Country:US
Mailing Address - Phone:707-565-4963
Mailing Address - Fax:707-565-3409
Practice Address - Street 1:2350 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3018
Practice Address - Country:US
Practice Address - Phone:707-565-4963
Practice Address - Fax:707-565-3409
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2025-07-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner