Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA CHRISTAL
Active Sole ProprietorAUDRA CHRISTAL is a Occupational Therapist healthcare provider located in ANDALUSIA, Illinois. NPI 1104248616 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ANDALUSIA, IL
Registration Details
- NPI Number
- 1104248616
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2014 (12.597419077257 yrs)
- Last Updated
- Jan 17, 2014
- License
-
12312015 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8020 126TH ST WANDALUSIA, IL, 612329235Browse IL providers · Browse ZIP 61232
- Phone
- 7026828372
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.