Individual
ELIZABETH MOMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
5330 W 35TH ST, CICERO, IL 60804-4409
(708) 982-4500
Mailing address
910 W LAWRENCE AVE APT 408, CHICAGO, IL 60640-4237
(412) 496-1583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012280
IL
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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