Individual
MS. BRANDI LYNNE MYELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
900 N 3RD ST, ROCHELLE, IL 61068-1666
(815) 562-4047
Mailing address
11028 E FISHER RD, ROCHELLE, IL 61068-9359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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