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Individual

ANGELA EBERHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
MSN(ALLIED) 4525 WEAVER PARKWAY, SUITE 310, WARRENVILLE, IL 60555
(800) 223-9230
Mailing address
18254 ADA ST, LANSING, IL 60438-3106
(708) 889-1621

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32000699A
IN
224Z00000X
Occupational Therapy Assistant
Primary
IL

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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