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Individual

BRANDIE MARIE WINTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
7358 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1710
(877) 522-4438
(855) 673-0845
Mailing address
733 S MAIN ST, CARROLLTON, IL 62016-1241
(618) 531-8807

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005179
IL

Other

Enumeration date
04/29/2021
Last updated
04/29/2021
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