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Individual

MS. ELENA CLARICE BRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
155 W MADISON ST, PETERSBURG, MI 49270-9474
(734) 625-7089

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
5201011301
MI

Other

Enumeration date
09/11/2017
Last updated
05/24/2021
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