Susan Marie Balthazor, OTR

NPI #1295900777 in Hazel Crest, Illinois

Provider Information

NPI Number: 1295900777
Entity Type: Individual
Name: Susan Marie Balthazor, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 25, 2008
Last Updated: Jan 22, 2021

Practice Location

Address: 17800 KEDZIE AVE
City: Hazel Crest
State: Illinois
ZIP Code: 60429-2029
Phone: (708) 213-3825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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