Individual
HOGAI BALOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 BUSHWICK AVE, BROOKLYN, NY 11206-1603
(845) 248-1968
Mailing address
200 WINSTON DR APT 2605, CLIFFSIDE PK, NJ 07010-3229
(845) 248-1968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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