Crystal Anne Baluk, MOTR/L

Individual provider Active NPI Occupational Therapist · Lebanon, NH

NPI 1992096598 · NPPES record last updated Nov 5, 2020

Key facts

NPI
1992096598
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2048 (NH)
Practice address
24 Old Etna Rd
Lebanon, NH 03766-1937
Phone
(603) 927-4251
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2048NHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2048 NH Yes

Addresses

Primary practice location

24 Old Etna Rd
Lebanon, NH 03766-1937

Mailing address

PO Box 310
1710 Route 114
North Sutton, NH 03260
Phone (603) 927-4251

Other providers in Lebanon, NH

All providers in Lebanon, NH · Occupational Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.