Individual
MRS. MEGAN VALDIVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1113 MCCALL CT, ROCHELLE, IL 61068-2400
(815) 979-1811
Mailing address
1113 MCCALL CT, ROCHELLE, IL 61068-2400
(815) 979-1811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014009
IL
Other
Enumeration date
09/16/2015
Last updated
05/30/2024
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