Individual
MRS. AIMEE LEE BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9311 N DRAGONFLY LN, WALTONVILLE, IL 62894-2414
(618) 231-1918
Mailing address
9311 N DRAGONFLY LN, WALTONVILLE, IL 62894-2414
(618) 231-1918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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