Individual
MR. AIDAN MARTIN BRODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
10325 KERRY RIDGE CT, CHICAGO RIDGE, IL 60415-2390
(708) 655-3179
Mailing address
10325 KERRY RIDGE CT, CHICAGO RIDGE, IL 60415-2390
(708) 655-3179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004681
IL
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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