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Individual

JENNIFER L BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMT

Contact information

Practice address
2644 NORTH TER, HUNTINGTON, WV 25705-1538
(304) 654-2462
Mailing address
2644 NORTH TER, HUNTINGTON, WV 25705-1538
(304) 654-2462

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
20062274
WV

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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