AUSTYNNE NEWBERG BOULTON

LIBERTYVILLE, IL
NPI1992203525
Former NameAUSTYNNE MARGARET NEWBERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.012332)
Enumeration Date2018-01-29
Last Update Date2024-12-31
Business Address
AUSTYNNE NEWBERG BOULTON MOT, OTR/L
1585 N MILWAUKEE AVE STE 101
LIBERTYVILLE, IL 60048-1359
Phone number: 847-918-7947
Mailing Address
AUSTYNNE NEWBERG BOULTON MOT, OTR/L
3930 FOREST FORK CT
LONG GROVE, IL 60047-5236
Phone number: