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Angela Dawn Ballou, OTR/L
Specialist in San Jose, California
NPI 1558793653

Angela Dawn Ballou is a Specialist based in San Jose, CA. Angela Dawn Ballou practices in San Jose, CA and has the professional credentials of OTR/L. The NPI Number for Angela Dawn Ballou is 1558793653 and holds a License No. 5802 (California).

The current practice location address for Angela Dawn Ballou is 1052 Delna Manor Ln, San Jose, CA and can be reached out via phone at 408-722-8629.

Location: 1052 Delna Manor Ln, San Jose, CA, 95155-8633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558793653
Provider Name
Angela Dawn Ballou
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
1052 Delna Manor Ln, San Jose, CA, 95155-8633
Phone Number
408-722-8629
Fax Number
Provider Enumeration Date
07/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1052 Delna Manor Ln
City
San Jose
State
California
Zip
95128-3457
Phone Number
408-722-8629
Fax Number
person
Provider Business Mailing Address Details
Address
1052 Delna Manor Ln
City
San Jose
State
California
Zip
95128-3457
Phone Number
408-722-8629
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5802 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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