Colleen M Bray, OTR/L
Occupational Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1164059325
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1164059325
- Entity type
- Individual (NPI-1)
- Name
- Colleen M Bray
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.009203 | IL | Yes |
Other names
- Colleen M Abad (Other Name)
Practice location
1653 W Congress PkwyChicago, IL 60612-3833
Phone 312-942-1204
Mailing address
4245 N Mozart StChicago, IL 60618-2389
Phone 847-373-3123
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