Individual
MICHELLE MARIE MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 UNIVERSITY DR, EDWARDSVILLE, IL 62025-3961
(618) 656-1081
(618) 656-7083
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002885
IL
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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