Individual
DEBRA RENEE BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
41 KELLEY RD, ORONO, ME 04473-3423
(207) 852-4037
(866) 220-5031
Mailing address
41 KELLEY RD, ORONO, ME 04473-3423
(207) 852-4037
(866) 220-5031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2463
ME
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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