Individual
CULLEN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 NELSON RD STE 1, LAKE CHARLES, LA 70605-4148
(337) 660-2996
Mailing address
1322 ELTON RD STE I, JENNINGS, LA 70546-4100
(337) 824-5488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12200
LA
Other
Enumeration date
08/27/2025
Last updated
09/03/2025
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