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Individual

BAILEY BOICKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
181 DEANNA DR STE C, LOWELL, IN 46356-2402
(219) 696-0988
(219) 696-0989
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012519A
IN

Other

Enumeration date
08/22/2017
Last updated
07/21/2022
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