Individual
VICTORIA LEEANN MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 440-9646
(773) 337-9106
Mailing address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 440-9646
(773) 337-9106
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056014377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056014377
PROFESSIONAL STATE LICENSE
IL
Enumeration date
07/18/2023
Last updated
07/18/2023
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