Individual provider · Type 1 NPI

Susan Marie Balthazor, OTR

Occupational Therapist · Hazel Crest, IL

NPI number 1295900777 Active

Practice location

17800 Kedzie Ave
Hazel Crest, IL 60429-2029

Fax (708) 213-0132

Mailing address

3703 W Lake Ave, Suite 200
Glenview, IL 60026-5823

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056002367 (IL)

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 1295900777

Susan Marie Balthazor, OTR's National Provider Identifier is 1295900777, issued on Apr 25, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Jan 22, 2021.