Individual
KAITLYN FAITH BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W 26TH ST, LYNN HAVEN, FL 32444-4713
(850) 769-5371
Mailing address
220 SEA SOUND CIR APT 2107, PANAMA CITY BEACH, FL 32407-2637
(937) 336-9446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
34346
FL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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