Individual
ELISE J BARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
247 E SURREY LN, EAST PEORIA, IL 61611-5435
(309) 694-2427
Mailing address
247 E SURREY LN, EAST PEORIA, IL 61611-5435
(309) 694-2427
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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