Individual
DIANDRA ELSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.015980
IL
225X00000X
Occupational Therapist
Primary
121690
TX
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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