Individual
EMILY BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Mailing address
113 ROUTE 73, VOORHEES, NJ 08043-9573
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
46TR00461900
NJ
225XG0600X
Gerontology Occupational Therapist
Primary
46TR00461900
NJ
Other
Enumeration date
01/12/2014
Last updated
01/12/2014
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