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Vonda Ballard

Physical Therapy Assistant in Fort Worth, TX. Individual provider (NPI-1).

NPI number1306325352
StatusActive
Last updated in NPPESAug 10, 2018

Details

NPI
1306325352
Entity type
Individual (NPI-1)
Name
Vonda Ballard
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 10, 2018
Last updated
Aug 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2032209TXYes

Practice location

101 Summit Ave Ste 510
Fort Worth, TX 76102-2613

Phone 682-730-0004

Mailing address

101 Summit Ave Ste 510
Fort Worth, TX 76102-2613

Phone 682-730-0004

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