Individual
KRISTA ANN DEBRABANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15745 W CROBALLY WAY, MANHATTAN, IL 60442-7724
(815) 955-0735
(815) 717-7353
Mailing address
15745 W CROBALLY WAY, MANHATTAN, IL 60442-7724
(815) 955-0735
(815) 717-7353
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056012437
IL
Other
Enumeration date
03/12/2018
Last updated
05/04/2023
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