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Individual

BRIANA MARIE CERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
1190 OLD MCHENRY RD, LONG GROVE, IL 60047-5088
(847) 613-4255
Mailing address
2111 N KIMBALL AVE UNIT 1, CHICAGO, IL 60647-3511
(630) 201-4714

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013690
IL

Other

Enumeration date
08/08/2020
Last updated
08/08/2020
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