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Mr. BRUCE SPENCER BALLARD -- PT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1700934346
Provider Type
Individual Provider (NPI-1)
Credentials
PT
Status
Active

Contact & Location

Address
711 AVIGNON DR, RIDGELAND, MS, 391575120
Phone
(601) 605-6777
Fax
(601) 605-8869

Specialties & Taxonomies

Physical Therapist Primary License: MS #PT2771

All Addresses

MAILING

1202 HARRISON ST

TUPELO, MS, 388015646

(662) 680-9416

LOCATION

711 AVIGNON DR

RIDGELAND, MS, 391575120

(601) 605-6777