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1467230946

NPI Code Detail

MEDICARE: ZENIA BALLARD DPT

MEDICARE: ZENIA BALLARD DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP024951T	GA
2	225100000X	Physical Therapist	CP035087T	VA
3	225100000X	Physical Therapist	PT70104653	WA
4	225100000X	Physical Therapist	12043	SC
5	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1467230946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZENIA BALLARD DPT

Provider Business Mailing Address
First Line	:	PO BOX 412307
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-2307
Country	:	US
Telephone Number	:	914-294-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2065 GRAYSON HWY STE B
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1766
Country	:	US
Telephone Number	:	678-376-0213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	03/23/2026

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Directions to “ ZENIA BALLARD DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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