Individual
ALLYSA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
502 E MONTGOMERY AVE, CROCKETT, TX 75835-1512
(979) 402-8446
Mailing address
PO BOX 1181, CROCKETT, TX 75835-1181
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155684
TX
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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