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KAREN BLY OT
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1083155121
Individual Registrant: KAREN BLY OT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
509 S BUCK RD LE ROY, IL 61752-1683 US
Tel: 309-962-5000 Fax: --
Tel: 309-962-5000 Fax: --
Contact information for business:
509 S BUCK RD LE ROY, IL 61752-1683 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1083155121
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | IL | 056003038 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
