Individual
CHRISTINA MARIE IMMERGLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2429 WILTON LN, AURORA, IL 60502-6454
(630) 499-7119
Mailing address
2429 WILTON LN, AURORA, IL 60502-6454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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