Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA BAUCOM
Active Sole ProprietorAMANDA BAUCOM is a Occupational Therapist healthcare provider located in STRONGHURST, Illinois. NPI 1245712975 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · STRONGHURST, IL
Registration Details
- NPI Number
- 1245712975
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2018 (7.9948252370956 yrs)
- Last Updated
- Aug 29, 2018
- License
-
056011582 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
604 OAKWOOD DRSTRONGHURST, IL, 614805052Browse IL providers · Browse ZIP 61480
- Phone
- 3099241123
- Primary Specialty
-
Occupational Therapist
225X00000X
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.