Organization
BFB THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BALDASSARRE OTR/L (OWNER)
(708) 917-9660
Entity
Organization
Contact information
Practice address
504 S MADISON AVE, LA GRANGE, IL 60525-2801
(708) 917-9660
(708) 469-7408
Mailing address
504 S MADISON AVE, LA GRANGE, IL 60525-2801
(708) 917-9660
(708) 469-7408
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.002081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619033610
INDIVIDUAL NATIONAL PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/01/2016
Last updated
07/01/2016
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