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Individual

MISAEL S BRIONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1418 SIOUX DR, OTTAWA, IL 61350-4652
(815) 431-0013
Mailing address
1418 SIOUX DR, OTTAWA, IL 61350-4652
(815) 431-0013

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003382
IL

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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