Individual
JILL BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(605) 830-8227
Mailing address
2423 SYCAMORE DR, APT 3, GREEN BAY, WI 54311-5148
(605) 830-8227
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
004850
IA
225100000X
Physical Therapist
Primary
004850
IA
225100000X
Physical Therapist
1479
SD
Other
Enumeration date
01/22/2014
Last updated
03/14/2016
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