Individual
REBECCA PERALTA EIMBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
226 S MAPLE AVE., UNIT E, OAK PARK, IL 60302
(708) 267-0970
Mailing address
226 S. MAPLE AVE., UNIT E, OAK PARK, IL 60302
(708) 383-2493
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003644
IL
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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