Individual
MS. DENISE ELLYN MAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR:/L
Contact information
Practice address
9559 S CHARLES ST, CHICAGO, IL 60643-1203
(773) 519-0045
Mailing address
9559 S CHARLES ST, CHICAGO, IL 60643-1203
(773) 519-0045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005610
IL
225X00000X
Occupational Therapist
31003102A
IN
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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