Ballou, Madonna

Ballou, Madonna is an individual health care provider with primary practice located at 1635 Ne Loop 410 Suite 600, San Antonio TX 78209-1625. 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 / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Ballou, Madonna can be contacted via phone (210) 457-2000.

Contact Information

Primary practice address
1635 Ne Loop 410 Suite 600 San Antonio TX 78209-1625
Phone: (210) 457-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 117960 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2077540 Texas

Profile Details

NPI number 1235471145
LBN Legal business name Ballou, Madonna
Credentials OTR/L, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated Nov 8th, 2016 - about 9 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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