Provider Demographics
NPI:1265599476
Name:BALL, JOSHUA C (MPT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:C
Last Name:BALL
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:MR
Other - First Name:JOSHUA
Other - Middle Name:C
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:13038 LEOPARD ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4515
Mailing Address - Country:US
Mailing Address - Phone:361-986-0708
Mailing Address - Fax:361-986-0751
Practice Address - Street 1:13038 LEOPARD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4515
Practice Address - Country:US
Practice Address - Phone:361-986-0708
Practice Address - Fax:361-986-0751
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1162377225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1162377OtherPT