Individual
TRISHA M BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 S 3RD ST, NILES, MI 49120-3414
(269) 684-4320
Mailing address
243 BOND ST, NILES, MI 49120-3245
(269) 362-7977
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002650
MI
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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