Michele Renee Chaleunphonh OTRL

NPI 1609039254 - Occupational Therapist - 225X00000X

NPI Details
NPI 1609039254
Gender Female
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1404 TAYLOR ST
JOLIET IL, 60435-5736, US
Phone (815) 729-9563
Fax (815) 729-9563
Business Location
1404 TAYLOR ST
JOLIET IL, 60435-5736, US
Phone (815) 729-9563
Fax (815) 729-9563
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056004445
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According to our database, Mrs. Michele Renee Chaleunphonh OTRL NPI is 1609039254, taxonomy code is 225X00000X and license number is 056004445, license state is located at Illinois. Michele Renee Chaleunphonh OTRL physically located at 1404 Taylor St, Joliet IL, 60435-5736. NPI Number Michele Renee Chaleunphonh OTRL has the Individual type.

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1609039254 NPI number is provided on an as is basis without warranty of any kind. 1609039254 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Renee Chaleunphonh OTRL are for informational purposes only.