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Individual

MICHELLE BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3301 CALUMET AVE, VALPARAISO, IN 46383-2614
(219) 462-0508
Mailing address
148 WESTCHESTER LN, VALPARAISO, IN 46385-8039
(219) 531-7484

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004494A
IN

Other

Enumeration date
05/30/2013
Last updated
05/30/2013
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