Individual
MRS. JEANNE BROUSSARD BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Mailing address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1111870
TX
Other
Enumeration date
01/28/2009
Last updated
01/10/2013
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