Individual
MELINDA OSTERDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 672-4516
Mailing address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 672-4516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057.001803
IL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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