National Provider Identifier
Ballah Burch, MSPT
Ballah Burch, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Canandaigua, NY and a listed phone number of (716) 830-8785.
Profile Overview
- NPI
- 1962613083
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 24, 2007
- Last Updated
- July 08, 2007
Practice Location
- 190 Parrish St Apt 76
- Canandaigua, NY 14424-1766
Phone: (716) 830-8785
Mailing Address
- 2124 Genesee St Uppr
- Buffalo, NY 14211-1934
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1962613083
- Entity Type
- Individual
- Last Name
- Burch
- First Name
- Ballah
- Name Prefix
- Mr.
- Credential
- MSPT
- Mailing Street Address
- 2124 Genesee St Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-1934
- Mailing Country
- US
- Mailing Phone
- (716) 830-8785
- Practice Street Address
- 190 Parrish St Apt 76
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1766
- Practice Country
- US
- Practice Phone
- (716) 830-8785
- Enumeration Date
- May 24, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)