Individual
MRS. ANDREA DAWN GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
15408 DAN PATCH DR, PLAINFIELD, IL 60544
(815) 254-8574
(815) 254-8574
Mailing address
15408 DAN PATCH DR, PLAINFIELD, IL 60544
(815) 254-8574
(815) 254-8574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932233
BCBS
IL
Enumeration date
10/03/2006
Last updated
07/08/2007
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