Individual
ALAN MINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Mailing address
1815 S WOLF RD, HILLSIDE, IL 60162-2110
(708) 236-0979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012590
IL
Other
Enumeration date
09/18/2018
Last updated
03/14/2019
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