EDWIN LU BALLADA

EUSTIS, FL
NPI1891828927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  23177)
Enumeration Date2007-03-14
Last Update Date2020-09-09
Business Address
Mr. EDWIN LU BALLADA DPT
411 W WOODWARD AVE
EUSTIS, FL 32726-4554
Phone number: 352-357-3565
Mailing Address
Mr. EDWIN LU BALLADA DPT
411 W WOODWARD AVE
EUSTIS, FL 32726-4554
Phone number: 352-357-3565
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