Individual
NAOMI PETITHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5336 N WESTERN AVE, CHICAGO, IL 60625-2310
(773) 271-5600
Mailing address
8549 S ELIZABETH ST # 85, CHICAGO, IL 60620-4038
(773) 948-0255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005447
IL
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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