CHARLES CHRISTOPHER BALLARD

GREENWOOD, MS
NPI1942466172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4382)
Enumeration Date2008-08-07
Last Update Date2008-08-07
Business Address
-- CHARLES CHRISTOPHER BALLARD PTA4382
702 HIGHWAY 82 W STE B
GREENWOOD, MS 38930-5069
Phone number: 662-455-5010
Mailing Address
-- CHARLES CHRISTOPHER BALLARD PTA4382
702 HIGHWAY 82 W STE B
GREENWOOD, MS 38930-5069
Phone number: 662-455-5010
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