Individual
MS. ROSEMARY JOAN DOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
(888) 733-1772
Mailing address
2135 W GIDDINGS ST, CHICAGO, IL 60625-1401
(815) 529-2060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
57.003802
IL
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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