Individual
ANNA ELIZABETH BREKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
750 PASQUINELLI DR STE 204, WESTMONT, IL 60559-1291
(630) 560-0136
Mailing address
1811 CAMBRIDGE DR, SAINT CHARLES, IL 60174-4671
(630) 485-1393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005558
IL
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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