Individual
JAMIE LYNN BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
RR 1 BOX 145A, SIGEL, IL 62462-9740
(217) 844-3681
Mailing address
RR 1 BOX 145A, SIGEL, IL 62462-9740
(217) 844-3681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004355
IL
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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