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Individual

MR. EDWIN LU BALLADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
411 W WOODWARD AVE, EUSTIS, FL 32726-4554
(352) 357-3565
Mailing address
411 W WOODWARD AVE, EUSTIS, FL 32726-4554
(352) 357-3565

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23177
FL

Other

Enumeration date
03/14/2007
Last updated
09/09/2020
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