Individual
HANNAH HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 FRANKLIN AVE STE L500, NORMAL, IL 61761-3551
(309) 451-8888
Mailing address
1302 FRANKLIN AVE STE L500, NORMAL, IL 61761-3551
(309) 451-8888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
08/20/2020
Last updated
02/27/2024
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