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1962029207
MORGAN BALOG
WEST ALLIS, WI
NPI
1962029207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 6791-26)
Enumeration Date
2020-07-02
Last Update Date
2024-11-18
Business Address
MORGAN BALOG OTR/L
3023 S 84TH ST
WEST ALLIS, WI 53227-3703
Phone number: 414-607-4100
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Mailing Address
MORGAN BALOG OTR/L
17280 W NORTH AVE
BROOKFIELD, WI 53045-4366
Phone number: 262-928-8830
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