Individual
MS. SHELLY ANN BLANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
Mailing address
301 S DELPHIA AVE, PARK RIDGE, IL 60068-3929
(847) 692-4356
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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