Individual
JENNIFER BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 PAVILLIONS CIR, TRAVERSE CITY, MI 49684-3198
(231) 932-3000
Mailing address
1389 POLLARD LN, TRAVERSE CITY, MI 49696-9321
(231) 944-0954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005587
MI
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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