Individual
MR. LARRY ALLEN BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
123 S WALNUT CIR, GREENSBORO, NC 27409-2624
(336) 285-6873
Mailing address
123 S WALNUT CIR, GREENSBORO, NC 27409-2624
(336) 285-6873
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15990
NC
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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