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Individual
DR. STEPHAN ALLEN BALL
Active
Individual
DR. STEPHAN ALLEN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003362
WV
225100000X
Physical Therapist
Primary
12598
TN
2255A2300X
Athletic Trainer
2000006008
WV
Other
Enumeration date
08/06/2014
Last updated
09/29/2020
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