Individual
MR. BRIAN THOMAS BALLARD
Active
Individual
MR. BRIAN THOMAS BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.F.A.
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
OFA 160
FL
225000000X
Orthotic Fitter
Primary
ORF 168
FL
Other
Enumeration date
06/23/2006
Last updated
09/11/2008
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