Individual
MS. CHISA MARIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8008 S ALBANY, CHICAGO, IL 60652
(773) 510-4995
Mailing address
8008 S ALBANY, CHICAGO, IL 60652
(773) 510-4995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009738
IL
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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