Individual
MS. MAYA ELENA GUTIERREZ HOROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2141 S TAN CT, CHICAGO, IL 60616-1998
(312) 791-0418
Mailing address
2141 S TAN CT, CHICAGO, IL 60616-1998
(312) 791-0418
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005213
IL
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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