| Mr Balg Eun Song, OTR/L | |
|
25 Valley Rd, Haworth, NJ 07641-1819 | |
| (215) 900-4636 | |
| Not Available |
| Full Name | Mr Balg Eun Song |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 25 Valley Rd, Haworth, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144689670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 019534-1 (New York) | Primary |
| Provider Name | Pt And Ot For Senior Rehab At Home Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811463003 PECOS PAC ID: 2668711573 Enrollment ID: O20190311001487 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Balg Eun Song, OTR/L 25 Valley Rd, Haworth, NJ 07641-1819 Ph: (215) 900-4636 | Mr Balg Eun Song, OTR/L 25 Valley Rd, Haworth, NJ 07641-1819 Ph: (215) 900-4636 |
Olivea Potenzone, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Terrace St, Suite 4, Haworth, NJ 07641 Phone: 201-388-5344 | |
Annmarie Lacorazza, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Terrace St, Suite 4, Haworth, NJ 07641 Phone: 201-388-5344 | |
Sensory Smart Therapy Services Inc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Terrace St, Suite 5a, Haworth, NJ 07641 Phone: 201-388-5344 |