Individual
DONNA MARIE BALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
24162 S IROQUOIS DR, CHANNAHON, IL 60410-3187
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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