Organization
BALLOU PHYSIOTHERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BALLOU PT (FOUNDER)
(703) 887-2876
Entity
Organization
Contact information
Practice address
9300 EMMETT RD, GLEN ALLEN, VA 23060-3521
(703) 887-2876
Mailing address
9300 EMMETT RD, GLEN ALLEN, VA 23060-3521
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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