Individual
MICHELLE PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56005523
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8030288
BLUECROSS/BLUESHIELD IL
IL
Enumeration date
08/20/2006
Last updated
01/19/2023
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