Individual
MS. GLORIA DEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
222 S. RIVERSIDE PALAZA SUITE 830, SUPPLEMENTAL HEALTH CARE, CHICAGO, IL 60606
(312) 416-3804
Mailing address
5836 S. PRAIRIE AVE., UNIT 2, CHICAGO, IL 60637-4082
(773) 426-5911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003668
IL
Other
Enumeration date
09/03/2013
Last updated
09/04/2013
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