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
- City
- Greenwood
- State
- Mississippi
- ZIP Code
- 38930-5069
- Phone
- (662) 455-5010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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