Individual provider · Type 1 NPI

Hagen Leventis Balog, OTR/L

Occupational Therapist · West Columbia, SC

NPI number 1023576485 Active

Practice location

2720 Sunset Blvd
West Columbia, SC 29169-4810

Mailing address

215 Clearbrook Cir
Lexington, SC 29072-4403

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5502 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1023576485

Hagen Leventis Balog, OTR/L's National Provider Identifier is 1023576485, issued on Mar 5, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Columbia, SC. The record was last updated on Jan 31, 2024.