Individual
MR. MICHAEL P BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
719 N DETROIT, HIGHWAY 10 AT DETROIT, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Mailing address
237 S BEAUMONT AVE, RUSSELLVILLE, AR 72801-4624
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1574
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1574
STATE LICENSE NUMBER
AR
Enumeration date
04/10/2007
Last updated
07/09/2007
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