Individual
EILEEN SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L CHT
Contact information
Practice address
260 BEISER BLVD, SUITE 102, DOVER, DE 19904-5773
(302) 741-0200
(302) 741-0245
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
U1 0000880
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000041626
—
DE
Enumeration date
11/08/2005
Last updated
11/30/2023
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