Individual
MR. BALLAH BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
190 PARRISH ST APT 76, CANANDAIGUA, NY 14424-1766
(716) 830-8785
Mailing address
2124 GENESEE ST UPPR, BUFFALO, NY 14211-1934
(716) 830-8785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028853
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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