Individual
NATHALIA ELEANORLOUISE BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
821 W HIGHWAY 50 STE 150, O FALLON, IL 62269-1828
(618) 726-0370
Mailing address
825 VERNON ST, EAST ALTON, IL 62024-1625
(443) 680-0371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015947
IL
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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