Individual
AMY JEAN BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD OTR
Contact information
Practice address
1978 GRAND AVE STE 45, WEST DES MOINES, IA 50265-4217
(515) 221-2220
Mailing address
2420 RIVER RIDGE DR, WEST DES MOINES, IA 50265-2045
(515) 327-8645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01310
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46281
WELLMARK
IA
Enumeration date
11/30/2006
Last updated
07/08/2007
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