Individual
KELLI BAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
245 PICTON RD, ROSELLE, IL 60172-3578
(630) 888-4768
Mailing address
245 PICTON RD, ROSELLE, IL 60172-3578
(630) 888-4768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013871
IL
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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