Individual
ELYSSA LORAINNE RONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4920 E STATE ST STE 4, ROCKFORD, IL 61108-2262
(815) 637-1100
Mailing address
5696 ANDREWS DR APT 8, ROSCOE, IL 61073-7013
(310) 490-8787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014661
IL
Other
Enumeration date
12/29/2021
Last updated
09/05/2023
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