Individual
FRANCES ANNE SALES BERTULFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 S RAND RD, LAKE ZURICH, IL 60047-2450
(847) 726-1200
Mailing address
22321 N PRAIRIE LN, KILDEER, IL 60047-9786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007966
IL
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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