Individual
LADONNA J BALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
139 SHADOWBROOKE, TROY, IL 62294-3625
(618) 978-4162
Mailing address
139 SHADOWBROOKE, TROY, IL 62294-3625
(618) 978-4162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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