Individual
MARIENE ITALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
1611 CINDY LN, SANDWICH, IL 60548-2552
(815) 786-8426
(815) 786-1621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003013
IL
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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