Individual
BONNIE PRZETACZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15 BRONZE POINTE N, SWANSEA, IL 62226-1197
(618) 235-6814
(618) 235-6872
Mailing address
15 BRONZE POINTE N, SWANSEA, IL 62226-1197
(618) 235-6814
(618) 235-6872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ILLINOIS
—
IL
Enumeration date
06/20/2013
Last updated
06/20/2013
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