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Individual

MR. DAVID LEROY BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1907 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-4407
(405) 609-6677
(405) 609-6679
Mailing address
1907 N. BROADWAY AVE., OKLAHOMA CITY, OK 73103
(405) 609-6677
(405) 609-6679

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2703
OK
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2703
LICENSE #
OK
Enumeration date
08/25/2006
Last updated
07/01/2016
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