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Jennifer Ballard

Developmental Therapist in Jacksonville, FL. Individual provider (NPI-1).

NPI number1114367489
StatusActive
Last updated in NPPESJul 1, 2013

Details

NPI
1114367489
Entity type
Individual (NPI-1)
Name
Jennifer Ballard
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2013
Last updated
Jul 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

8280 Princeton Square Blvd W Ste 3
Jacksonville, FL 32256-0362

Phone 904-647-1849

Mailing address

8280 Princeton Square Blvd W Ste 3
Jacksonville, FL 32256-0362

Phone 904-647-1849

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