Individual
SARAH ANNE MYCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
323 N STONE AVE, LA GRANGE PARK, IL 60526-1818
(773) 852-8720
(708) 482-7432
Mailing address
323 N STONE AVE, LA GRANGE PARK, IL 60526-1818
(773) 852-8720
(708) 482-7432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-004549
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056-004549
IL
Other
Enumeration date
09/14/2006
Last updated
06/26/2019
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