Individual
KAREN BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
509 S BUCK RD, LE ROY, IL 61752-1683
(309) 962-5000
Mailing address
509 S BUCK RD, LE ROY, IL 61752-1683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003038
IL
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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