Individual
AMABELLE LEE BALOY DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6501 S CASS AVE, WESTMONT, IL 60559-3200
(630) 960-2026
Mailing address
2320 PEBBLESTONE WAY, BOLINGBROOK, IL 60490-5059
(815) 677-0239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017397
IL
Other
Enumeration date
07/18/2010
Last updated
07/18/2010
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