4619 N. Ravenswood Ave Suite 204 Chicago, Il 60640
4619 N. Ravenswood Ave Suite 204 Chicago, Il 60640 is an Occupational Therapy Assistant in Chicago, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4619 N Ravenswood Ave Ste 204Chicago, IL 60640-4579
Phone: (773) 697-7333
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X |
|---|
Record details
| NPI number | 1992481246 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maya E Horowitz — Occupational Therapy Assistant · (773) 797-4155 |
| NPI enumerated | June 22, 2023 |
| Last updated in NPPES | June 22, 2023 |
| Certification date | June 22, 2023 |
| Mailing address | 4619 N Ravenswood Ave Ste 204, Chicago, IL 60640-4579 |
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