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MR. EDWIN LU BALLADA DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1891828927

Individual Registrant:
MR. EDWIN LU BALLADA DPT
Gender: M
Sole Proprietor

Location and contact information for practice:
411 W WOODWARD AVE  EUSTIS, FL 32726-4554 US
Tel: 352-357-3565  Fax: --

Contact information for business:
411 W WOODWARD AVE  EUSTIS, FL 32726-4554 US
Tel: 352-357-3565  Fax: --

Registration Information:
NPI: 1891828927
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FL23177

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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