Individual
BAYLEE BAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 IL ROUTE 173, POPLAR GROVE, IL 61065-9718
(815) 765-2113
Mailing address
4950 IL ROUTE 173, POPLAR GROVE, IL 61065-9718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014205
IL
Other
Enumeration date
01/18/2019
Last updated
01/13/2026
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