Individual
DIANA ORTEGA MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
1155 S COLLEGE MALL RD STE A, BLOOMINGTON, IN 47401-6166
(812) 558-3356
(812) 558-3377
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IN
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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