Individual
ELISSA L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2591 COMPASS RD, SUITE 100, GLENVIEW, IL 60026-8043
(847) 729-6220
Mailing address
6338 N CLARK ST, APT. 2F, CHICAGO, IL 60660-1260
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.009983
IL
Other
Enumeration date
12/01/2008
Last updated
02/06/2013
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