BRUCE SPENCER BALLARD

RIDGELAND, MS
NPI1700934346
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT2771)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mr. BRUCE SPENCER BALLARD PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Mr. BRUCE SPENCER BALLARD PT
1202 HARRISON ST
TUPELO, MS 38801-5646
Phone number: 662-680-9416
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