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Individual

CONSTANCE BALLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1513 DEKALB AVE, SYCAMORE, IL 60178-2703
(815) 758-0000
(815) 991-9484
Mailing address
1952 ABERDEEN CT, SYCAMORE, IL 60178-3175
(815) 758-0000
(815) 756-7618

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
160000227
IL
225200000X
Physical Therapy Assistant
Primary
160-000227
IN

Other

Enumeration date
03/21/2013
Last updated
03/17/2018
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