Whalio Doctors

NPI 1023576485

Hagen Leventis Balog, OTRL

Practitioner Occupational Therapist West Columbia, SC

Practice location

Address
2720 Sunset Blvd, West Columbia, SC 29169-4810
Phone
(803) 791-2000
Mailing address
215 Clearbrook Cir, Lexington, SC 29072-4403

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 5502 (SC)

Registry record

NPI
1023576485
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Mar 2019
Record last updated
31 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.