Individual
DANIEL BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4932 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2659
(540) 891-1186
Mailing address
4932 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2659
(540) 891-1186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210335
VA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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