Individual
GERRIS BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3160 N JOG RD, APT 11305, WEST PALM BEACH, FL 33411-7422
(724) 882-0570
Mailing address
3160 N JOG RD, APT 11305, WEST PALM BEACH, FL 33411-7422
(724) 882-0570
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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