Individual
RACHEL NICOLE HAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
(312) 242-1665
Mailing address
18427 MILLER DR, LANSING, IL 60438-3310
(708) 264-0262
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
057005346
IL
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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