Individual
PAMELA SALLADE-BARDENSHTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 STONEHEDGES CT, BLOOMINGTON, IL 61705-6306
(309) 242-5295
Mailing address
1 STONEHEDGES CT, BLOOMINGTON, IL 61705-6306
(309) 242-5295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000472
IL
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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