Individual
MRS. TRACI LYNN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
517 N HALLMARK DR, CLARKSVILLE, IN 47129-6629
(812) 282-8406
Mailing address
6809 CAITLYNN WAY, LOUISVILLE, KY 40229-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003447A
IN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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