Individual
HEATHER ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
712 W GRACE ST APT 2N, CHICAGO, IL 60613-4119
(504) 251-8685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011919
IL
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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