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Individual

MS. BRIDGET COLLEEN CARUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
E 65TH ST @ LAKE MICHIGAN, CHICAGO, IL 60649
(773) 256-5796
Mailing address
3758 N SHEFFIELD AVE, CHICAGO, IL 60613-5037
(773) 562-8005

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
225X00000X
Occupational Therapist
Primary
056005923
IL

Other

Enumeration date
02/07/2008
Last updated
03/01/2010
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