Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Dawn Ballou, OTR/L

Individual provider Specialist · NPI 1558793653

Angela Dawn Ballou, OTR/L is a Specialist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1052 Delna Manor Ln
San Jose, CA 95128-3457
Phone: (408) 722-8629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5802 (CA)

Record details

NPI number1558793653
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJuly 31, 2013
Last updated in NPPESJuly 31, 2013

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