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Organization
PELVIC FLOOR REHAB LLC
Active
Organization
PELVIC FLOOR REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELINA KRISTY (OCCUPATIONAL THERAPIST)
(773) 414-2822
Entity
Organization
Contact information
Practice address
5256 W WINNEMAC AVE, CHICAGO, IL 60630-2218
(773) 414-2822
Mailing address
5256 W WINNEMAC AVE, CHICAGO, IL 60630-2218
(773) 414-2822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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