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Individual
THEODORE J BALLARD
Active
Individual
THEODORE J BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
14641
NC
225100000X
Physical Therapist
23236
MD
2251X0800X
Orthopedic Physical Therapist
Primary
P14641
NC
Other
Enumeration date
04/27/2010
Last updated
08/28/2026
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