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Individual

KRISTOFER BALATERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
734 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1523
(732) 212-1910
Mailing address
3504 WILLOW DR, OCEAN, NJ 07712-2841
(732) 610-2072

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09132300
NJ

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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