NPI 1962519660 · live from the CMS NPI Registry
David Leroy Ball, PT
Physical Therapist in Oklahoma City, OK. National Provider Identifier 1962519660, active.
NPI record
| NPI | 1962519660 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1907 N Broadway Ave, Oklahoma City, OK 73103 |
| Practice phone | 405-609-6677 |
| Mailing address | 1907 N. Broadway Ave., Oklahoma City, OK 73103 |
| Enumerated | August 25, 2006 |
| Last updated | July 1, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Physical Therapist primary | 225100000X | PT2703 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.