Charles Christopher Ballard, PTA4382

NPI #1942466172 in Greenwood, Mississippi

Provider Information

NPI Number
1942466172
Entity Type
Individual
Name
Charles Christopher Ballard, PTA4382
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA4382
Enumeration Date
Aug 7, 2008
Last Updated
Aug 7, 2008

Practice Location

Address
702 HIGHWAY 82 W STE B
ZIP Code
38930-5069
Phone
(662) 455-5010

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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