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KAREN BLY OT

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1083155121

Individual Registrant:
 KAREN  BLY OT
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: --

Contact information for business:
509 S BUCK RD  LE ROY, IL 61752-1683 US
Tel: --  Fax: --

Registration Information:
NPI: 1083155121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
IL056003038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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