Individual
MISS ARIANA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2255 MONARCH DR, NAPERVILLE, IL 60563-4164
(630) 300-1300
Mailing address
1618 N CENTER ST, CREST HILL, IL 60403-2632
(815) 764-7008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.006087
IL
Other
Enumeration date
04/15/2024
Last updated
04/17/2024
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