Individual provider · Type 1 NPI

Justine Balog, MOT, OTR/L

Occupational Therapist · New York, NY

NPI number 1477994630 Active

Practice location

25 E 104th St
New York, NY 10029-4402

Call (212) 289-4872 Map

Mailing address

6048 72nd St
Maspeth, NY 11378-2916

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X018048-1 (NY)

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 1477994630

Justine Balog, MOT, OTR/L's National Provider Identifier is 1477994630, issued on Jul 16, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Jul 18, 2013.