Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY LOUISE BALTHAZOR
ActiveHOLLY LOUISE BALTHAZOR is a Occupational Therapy Assistant healthcare provider located in LOMIRA, Wisconsin. NPI 1164149761 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LOMIRA, WI
Registration Details
- NPI Number
- 1164149761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2022 (3.8149778651624 yrs)
- Last Updated
- Oct 24, 2022
- License
-
796-27 (WI)
Practice Information
- Address
-
438 ASHFORD AVELOMIRA, WI, 530489578Browse WI providers · Browse ZIP 53048
- Phone
- 9202694386
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.