Individual
LARISSA BALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
327 MEADOWBROOK LN, SOUTH ORANGE, NJ 07079-2908
(845) 642-6445
Mailing address
327 MEADOWBROOK LN, SOUTH ORANGE, NJ 07079-2908
(845) 642-6445
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00708700
NJ
Other
Enumeration date
04/10/2012
Last updated
02/16/2023
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