IndividualActive
Alyssa Bruck, MS, OTR/L
NPI 1174927701 · Occupational Therapist · Normal, IL
Provider details
- NPI number
- 1174927701
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 056.010674 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
700 N Walnut St
Normal, IL 61761
Phone: (815) 252-5625
Approximate (ZIP-level) locationGet directions
Mailing address
700 N Walnut St
Normal, IL 61761-1753
Registry dates
- Enumerated
- 2014-10-10
- Last updated
- 2014-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.