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Individual

CARSON MUMMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2119 W BELMONT AVE, 1C, CHICAGO, IL 60618-6463
(717) 572-5899
Mailing address
2119 W BELMONT AVE, 1C, CHICAGO, IL 60618-6463
(717) 572-5899

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009831
IL

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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