Holly Louise Balthazor
Holly Louise Balthazor is an Occupational Therapy Assistant in Lomira, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
438 Ashford AveLomira, WI 53048-9578
Phone: (920) 269-4386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 796-27 (WI) |
|---|
Record details
| NPI number | 1164149761 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 24, 2022 |
| Mailing address | 1048 Holly Tree Ln, Fond Du Lac, WI 54935-8008 |