Individual
DIANE MARIE BAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
056-002019
IL
225X00000X
Occupational Therapist
Primary
056002019
IL
Other
Enumeration date
01/12/2006
Last updated
07/23/2021
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