Individual
ANGELA M BRONESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
55774 MO-6, EDINA, MO 63537
(660) 397-2282
Mailing address
720 SYCAMORE ST, QUINCY, IL 62301-1639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009307
IL
Other
Enumeration date
06/13/2013
Last updated
03/17/2018
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