Individual
BRENDA LOMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1945 W WILSON AVE, CHICAGO, IL 60640-5255
(847) 707-6744
(847) 786-2156
Mailing address
PO BOX 416501, BOSTON, MA 02241-6501
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014603
IL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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