Individual
MRS. EILEEN MARIE THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
226 STATE ST, ST CHARLES, IL 60174-1864
(630) 587-3777
Mailing address
834 BROOKSIDE DR, BARTLETT, IL 60103-4668
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.006518
IL
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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