Madonna Ballou, OTR/L, PTA Valid NPI

Individual provider · Occupational Therapist · San Antonio, TX

NPI

1235471145

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

117960 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2013-03-19

Last updated

2016-11-08