Individual
ASHLEY LAUREN PRUEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3222 INDEPENDENCE DR, DANVILLE, IL 61832-7919
(217) 431-1600
Mailing address
912 N LINVIEW AVE, URBANA, IL 61801-1632
(618) 305-3276
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005829
IL
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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