Individual
MRS. JULIA BALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18-01 POLLITT DR STE 1A, FAIR LAWN, NJ 07410-2815
(201) 478-4200
(201) 478-4201
Mailing address
24 HUTTON AVE APT 17, WEST ORANGE, NJ 07052-4831
(551) 580-2451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09194800
NJ
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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