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Danielle Baltierra

Occupational Therapist in Champaign, IL. Individual provider (NPI-1).

NPI number1831521905
StatusActive
Last updated in NPPESJul 31, 2013

Details

NPI
1831521905
Entity type
Individual (NPI-1)
Name
Danielle Baltierra
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2013
Last updated
Jul 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056003081ILYes

Practice location

1915 S Mattis Ave
Champaign, IL 61821-5919

Phone 217-352-0516

Mailing address

1915 S Mattis Ave
Champaign, IL 61821-5919

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