Most Relevant Information
Provider Data
| NPI Number: | 1003353053 |
| Provider Name: | ANDREW BALLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 9844 |
Most Important Dates
| Enumeration Date: | 01/30/2017 |
| Last Updated: | 01/30/2017 |
Provider Practice Location
413 E TREMAINE AVE
GILBERT
AZ
852344623
Practice Location Phone/Fax
| Phone: | 6025504730 |
| Fax: |
Provider Mailing Location
413 E TREMAINE AVE
GILBERT
AZ
852344623
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |