Most Relevant Information
Provider Data
| NPI Number: | 1003681743 |
| Provider Name: | ELLIE BUENING OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056.014818 |
Most Important Dates
| Enumeration Date: | 11/22/2023 |
| Last Updated: | 11/22/2023 |
Provider Practice Location
1000 HEALTH CENTER DR
MATTOON
IL
619384644
Practice Location Phone/Fax
| Phone: | 2172582530 |
| Fax: | 2172584176 |
Provider Mailing Location
1000 HEALTH CENTER DR
MATTOON
IL
619384644
Provider Mailing Phone/Fax
| Phone: | 2172582530 |
| Fax: | 2172584176 |