Individual
STEPHANIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3019
(918) 358-2501
Mailing address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3019
(918) 358-2501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2400
OK
Other
Enumeration date
03/01/2021
Last updated
04/25/2024
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