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Contact Information

LARISSA BALIK, MS, OTR/L
327 MEADOWBROOK LN
SOUTH ORANGE, NJ07079-2908
 Phone: 845-642-6445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LARISSA BALIK · (Female)

NPI # 1609132018
Status Active
Credentials MS, OTR/L
Entity Individual
Enumeration date 04/10/2012
Last updated 02/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 46TR00708700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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