Individual
MISS ABBY LEIGH BAALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
314 5TH ST, CARROLLTON, IL 62016-1325
(217) 409-6405
(217) 305-7282
Mailing address
1719 CLAWSON STREET, ALTON, IL 62002
(618) 462-1133
(618) 462-3736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-023521
IL
225100000X
Physical Therapist
Primary
070.023521
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.023521
PROFESSIONAL LICENSE
IL
Enumeration date
03/01/2018
Last updated
10/12/2020
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