Individual
STEPHEN E BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 658-9522
Mailing address
100 E STETSON AVE, DELAND, FL 32724-2886
(386) 873-9736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8659
NC
225200000X
Physical Therapy Assistant
PTA23600
FL
Other
Enumeration date
08/22/2025
Last updated
08/27/2025
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