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1497498968
HEATHER BALLANCE
SAINT LOUIS, MO
NPI
1497498968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2000163573)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
HEATHER BALLANCE
2929 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122-3318
Phone number: 636-825-6665
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Mailing Address
HEATHER BALLANCE
436 SPRING HILL RD
JACKSON, MO 63755-3122
Phone number: 573-270-4595
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