Debra Renee Ballou, MOTR/L

NPI #1770888604 in Orono, Maine

Provider Information

NPI Number: 1770888604
Entity Type: Individual
Name: Debra Renee Ballou, MOTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOTR/L
Enumeration Date: Jan 25, 2011
Last Updated: Jan 25, 2011

Practice Location

Address: 41 KELLEY RD
City: Orono
State: Maine
ZIP Code: 04473-3423
Phone: (207) 852-4037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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