Individual
ANDREW BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 E TREMAINE AVE, GILBERT, AZ 85234-4623
(602) 550-4730
Mailing address
413 E TREMAINE AVE, GILBERT, AZ 85234-4623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9844
AZ
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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