Individual
MRS. KALYNNE KAY BALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8600 DORCHESTER RD, SUITE 204, N CHARLESTON, SC 29420-7382
(843) 425-6901
Mailing address
8600 DORCHESTER RD, SUITE 204, N CHARLESTON, SC 29420-7382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4696
SC
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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