Charles Christopher Ballard, PTA4382 Valid NPI
Individual provider · Physical Therapy Assistant · Greenwood, MS
- NPI
- 1942466172
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- PTA4382 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-07
Practice location
702 Highway 82 W Ste B
Greenwood, MS 38930-5069
(662) 455-5010