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Individual

BALEIGH DELORIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3821 DEWEY ST, MANITOWOC, WI 54220-5482
(920) 682-7585
Mailing address
3821 DEWEY ST, MANITOWOC, WI 54220-5482
(920) 682-7585

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8343-26
WI

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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