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Individual
JACKSON FORD BALLARD
Active
Individual
JACKSON FORD BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7718
MS
225100000X
Physical Therapist
PT9013
TN
Other
Enumeration date
06/30/2011
Last updated
05/30/2024
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