Individual
CARLEEN MARIE BISCONTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 AUSTIN AVE, WASHINGTON, IL 61571-9315
(309) 657-6209
Mailing address
1401 AUSTIN AVE, WASHINGTON, IL 61571-9315
(309) 657-6209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005044
IL
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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