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Individual

DIANE SRAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2126 SERENITY LN, WOODSTOCK, IL 60098-7017
(815) 334-7856
Mailing address
2126 SERENITY LN, WOODSTOCK, IL 60098-7017
(815) 334-7856

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005166
IL

Other

Enumeration date
04/22/2019
Last updated
04/22/2019
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