Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LYNNISE R. BALLEW, OTR/L
Active Sole ProprietorMRS. LYNNISE R. BALLEW, OTR/L is a Pediatric Occupational Therapist healthcare provider located in OSWEGO, Illinois. NPI 1093836561 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · OSWEGO, IL
Registration Details
- NPI Number
- 1093836561
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2007 (19.339085502909 yrs)
- Last Updated
- Feb 26, 2015
- License
-
056-006338 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
372 RISEN STAR LNOSWEGO, IL, 605434033Browse IL providers · Browse ZIP 60543
- Phone
- 6308024720
- Fax
- 6305547210
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.