Individual
MRS. SALENA RAQUEL LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24037 W OAK ST, PLAINFIELD, IL 60544-2834
(815) 905-7028
Mailing address
15005 S CENTER ST UNIT 103, PLAINFIELD, IL 60544-2305
(779) 260-0229
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
057005932
IL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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