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Individual

MORGAN BALOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3023 S 84TH ST, WEST ALLIS, WI 53227-3703
(414) 607-4100
Mailing address
17280 W NORTH AVE, BROOKFIELD, WI 53045-4366
(262) 928-8830

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6791-26
WI

Other

Enumeration date
07/02/2020
Last updated
11/18/2024
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