Individual
MRS. LORENA GRACE DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007721
IL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/06/2007
Last updated
07/25/2018
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