Individual
ANCY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1001 N GREENWOOD AVE, PARK RIDGE, IL 60068-2054
(847) 692-5600
Mailing address
4900 FOSTER ST APT 408, SKOKIE, IL 60077-1359
(972) 921-8815
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056.007954
—
IL
Enumeration date
09/14/2021
Last updated
09/14/2021
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