Individual
BETH ELLEN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5225 OLD ORCHARD RD, SUITE18, SKOKIE, IL 60077-4405
(847) 663-1020
(847) 663-1022
Mailing address
5225 OLD ORCHARD ROAD, SUITE18, SKOKIE, IL 60077
(847) 663-1020
(847) 663-1022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
09/15/2006
Last updated
07/27/2007
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