Ballou, Constance P

Ballou, Constance P is an individual health care provider with primary practice located at 11126 Ne 104Th Way , Kirkland WA 98033-5034. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Ballou, Constance P can be contacted via phone (425) 827-9594.

Contact Information

Primary practice address
11126 Ne 104Th Way Kirkland WA 98033-5034
Phone: (425) 827-9594
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00002332 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 9105000876 Washington

Profile Details

NPI number 1710016845
LBN Legal business name Ballou, Constance P
Credentials OTR/L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 26th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710016845 NPPES
Washington Other 115763 L AND I
Washington Other BA5492 L AND I
Washington MEDICAID 7680697 L AND I

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