Individual
LENA M WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 242-2713
Mailing address
3109 RUDDER LN APT 202, BLOOMINGTON, IL 61704-8692
(309) 531-6977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015101
IL
Other
Enumeration date
09/19/2024
Last updated
01/23/2025
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