NPI 1174927701
Alyssa Marie Bruck, MSOTRL
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
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.