Individual
MS. TAMARA M BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
784 COLUMBUS AVE, #7A, NEW YORK, NY 10025-5901
(646) 306-7506
Mailing address
784 COLUMBUS AVE, #7A, NEW YORK, NY 10025-5901
(646) 306-7506
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014614
NY
Other
Enumeration date
11/12/2008
Last updated
05/27/2009
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