DANIELLE BALTIERRA

CHAMPAIGN, IL
NPI1831521905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056003081)
Enumeration Date2013-07-31
Last Update Date2013-07-31
Business Address
-- DANIELLE BALTIERRA
1915 S MATTIS AVE
CHAMPAIGN, IL 61821-5919
Phone number: 217-352-0516
Mailing Address
-- DANIELLE BALTIERRA
1915 S MATTIS AVE
CHAMPAIGN, IL 61821-5919
Phone number:
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