Individual
MRS. MYLENE CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13400 S ROUTE 59, SUITE 116-326, PLAINFIELD, IL 60585-5696
(815) 267-7334
(630) 429-9411
Mailing address
13400 S ROUTE 59, SUITE 116-326, PLAINFIELD, IL 60585-5696
(815) 267-7334
(630) 429-9411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-004242
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056-004242
IL
Other
Enumeration date
01/23/2007
Last updated
09/14/2022
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