Marijean Dale Ballard, ATC
NPI #1609811512 in Deatsville, Alabama
Provider Information
- NPI Number
- 1609811512
- Entity Type
- Individual
- Name
- Marijean Dale Ballard, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 17, 2006
- Last Updated
- Aug 15, 2014
Practice Location
- Address
- 289 SUMMERTIME PKWY
- City
- Deatsville
- State
- Alabama
- ZIP Code
- 36022-5371
- Phone
- (205) 601-5160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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