Individual
BRENDA ESTRADA ROSTESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3944 N OKETO AVE, CHICAGO, IL 60634-2124
(773) 625-5412
Mailing address
3944 N OKETO AVE, CHICAGO, IL 60634-2124
(773) 625-5412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002325
IL
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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