Individual
LAUREN BERNARDONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Mailing address
419 W 4TH ST, LOSTANT, IL 61334-9797
(815) 579-5260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015872
IL
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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