Whalio Doctors

NPI 1174927701

Alyssa Marie Bruck, MSOTRL

Practitioner Occupational Therapist Normal, IL

Practice location

Address
700 N Walnut St, Normal, IL 61761
Phone
(815) 252-5625
Mailing address
700 N Walnut St, Normal, IL 61761-1753

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 056.010674 (IL)

Registry record

NPI
1174927701
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Oct 2014
Record last updated
10 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.