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Individual

MARIBEL DEGUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
502 N STATE ST, FRANKLIN GROVE, IL 61031-9773
(815) 456-2374
Mailing address
419 W 38TH ST APT 1, CHICAGO, IL 60609-1840
(317) 457-4771

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013683
IL
225X00000X
Occupational Therapist
056013683
IL
225X00000X
Occupational Therapist
20418-875
WI

Other

Enumeration date
05/24/2021
Last updated
03/26/2023
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