Individual
MICHELLE R PRUNEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
504 5TH ST, CRETE, IL 60417-2110
(708) 829-0059
(708) 367-9905
Mailing address
448 MARIAN AVE, BRADLEY, IL 60915-1940
(815) 295-3577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012912
IL
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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