Individual
ASHLEY CANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12600 RENAISSANCE CIR, HOMER GLEN, IL 60491-5891
(708) 301-0800
Mailing address
14961 S COG HILL LN, HOMER GLEN, IL 60491-5930
(708) 465-5902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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