Individual
BRIAN RALPH BALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1350 N 500 E, SUITE 120, LOGAN, UT 84341-2400
(435) 716-2880
(435) 716-2811
Mailing address
1350 N 500 E, SUITE 120, LOGAN, UT 84341-2400
(435) 716-2880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4872485-2402
UT
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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