Individual
JACQUELINE FIONA YVONNE BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3124 N SWAN RD, TUCSON, AZ 85712-1227
(520) 363-3232
Mailing address
3124 N SWAN RD, TUCSON, AZ 85712-1227
(520) 363-3232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013943
AZ
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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