Individual
CLARION MARSHEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 POPLAR AVE, RICHTON PARK, IL 60471-1161
(708) 217-0064
Mailing address
4615 POPLAR AVE, RICHTON PARK, IL 60471-1161
(708) 217-0064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.005061
IL
224Z00000X
Occupational Therapy Assistant
Primary
057005061
IL
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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