Individual
MRS. MICHELE RENEE CHALEUNPHONH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1404 TAYLOR ST, JOLIET, IL 60435-5736
(815) 729-9563
(815) 729-9563
Mailing address
1404 TAYLOR ST, JOLIET, IL 60435-5736
(815) 729-9563
(815) 729-9563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004445
IL
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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