Jackson Oldham Ballard, DPT

NPI #1225884349 in Concord, North Carolina

Provider Information

NPI Number: 1225884349
Entity Type: Individual
Name: Jackson Oldham Ballard, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 29, 2024
Last Updated: Apr 29, 2024

Practice Location

Address: 487 LAKE CONCORD RD NE
City: Concord
State: North Carolina
ZIP Code: 28025-2934
Phone: (704) 403-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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