Individual
MINERVA VILLACRUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16W361 S FRONTAGE RD, STE 131, BURR RIDGE, IL 60527-5830
(630) 590-5571
Mailing address
16W361 S FRONTAGE RD, STE 131, BURR RIDGE, IL 60527-5830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009567
IL
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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