Individual
ANDREA JO BALOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4817 LEAH DR, GIRARD, PA 16417-7525
(814) 774-1080
Mailing address
4817 LEAH DR, GIRARD, PA 16417-7525
(814) 774-1080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC-006938-L
PA
225X00000X
Occupational Therapist
Primary
OT-05001
OH
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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