Individual
LORISSA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
9027 CHARRINGTON DR, FRANKFORT, IL 60423-9443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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