Individual
KAITLIN ELIZABETH BRUNSVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008883
IL
225XP0200X
Pediatric Occupational Therapist
056008883
IL
Other
Enumeration date
12/28/2009
Last updated
08/28/2023
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