Individual
MISS BRITTANY LYNN BALOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
471 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3434
(224) 357-8398
(847) 829-4487
Mailing address
277 GRANDVIEW CT, ALGONQUIN, IL 60102-1990
(847) 710-1223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006958
IL
Other
Enumeration date
11/23/2010
Last updated
09/10/2012
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