Individual
MRS. HEATHER L. BAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
361 ROSE ELLEN DR, CROWN POINT, IN 46307-4347
(847) 636-3721
Mailing address
361 ROSE ELLEN DR, CROWN POINT, IN 46307-4347
(847) 636-3721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002899
IL
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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