Individual
ALYSA NICOLE BAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
128 W WASHINGTON ST, PITTSFIELD, IL 62363-1441
(217) 285-4512
(217) 285-5740
Mailing address
128 W. WASHINGTON STREET, PITTSFIELD, IL 62636
(217) 285-4512
(217) 285-5740
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
10/04/2013
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