Deandra Mugnolo, OT

NPI #1528535903 in Northfield, Illinois

Provider Information

NPI Number: 1528535903
Entity Type: Individual
Name: Deandra Mugnolo, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 1845 OAK ST STE 15
City: Northfield
State: Illinois
ZIP Code: 60093-3022
Phone: (847) 386-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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