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Contact Information

THEODORE J BALLARD, DPT
WOMACK
2817 ROCK MERRITT AVE
FAYETTEVILLE, NC28307
 Phone: 910-643-1472
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for THEODORE J BALLARD · (Male)

NPI # 1972820199
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 04/27/2010
Last updated 01/05/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 23236
  • NC License # 14641
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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