Individual
AUDRA LYNLEE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7595 BAYMEADOWS CIR W APT 1501, JACKSONVILLE, FL 32256-1858
(352) 362-3549
Mailing address
7595 BAYMEADOWS CIR W APT 1501, JACKSONVILLE, FL 32256-1858
(352) 362-3549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20199
FL
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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