Individual
MR. BRADLEY RUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1028 W HILLCREST DR, CHILLICOTHE, IL 61523-2258
(309) 274-2194
Mailing address
1306 MONROE ST, PEKIN, IL 61554-1747
(309) 363-1790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005861
IL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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