Individual
SUSAN HARTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1048 OGDEN AVE, SUITE 130, DOWNERS GROVE, IL 60515-2894
(630) 810-1200
Mailing address
1048 OGDEN AVE, SUITE 130, DOWNERS GROVE, IL 60515-2894
(630) 810-1200
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
057002025
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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