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Individual

ERICA LYNN BUCHENAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 931-1000
Mailing address
17413 E 3000 NORTH RD, ODELL, IL 60460-8095
(815) 931-1000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010753
IL

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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