Individual
MRS. SUSAN J BAUMGARTH-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1545 TEMPLE LN, ROCKFORD, IL 61112-1097
(815) 332-3272
(815) 332-6752
Mailing address
1545 TEMPLE LN, ROCKFORD, IL 61112-1097
(815) 332-3272
(815) 332-6752
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057-000441
IL
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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