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Individual
MADONNA BALLOU
Active
Individual
MADONNA BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2077540
TX
225X00000X
Occupational Therapist
Primary
117960
TX
225X00000X
Occupational Therapist
Primary
361902
OR
Other
Enumeration date
03/19/2013
Last updated
08/28/2026
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