Individual
ERICKA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
Mailing address
10840 S STATE ST, CHICAGO, IL 60628-3434
(129) 143-2873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008726
IL
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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