Individual
MS. BREE ANN MCCLUSKY OCASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
2110 FOX DR STE B, CHAMPAIGN, IL 61820-7596
(217) 366-1323
Mailing address
2110 FOX DR STE B, CHAMPAIGN, IL 61820-7596
(217) 366-1323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70015763
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK
IL
01
—
203
BLUE CROSS PROVIDER ID
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROVIDER ID
IL
Enumeration date
08/23/2007
Last updated
07/13/2016
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