Individual
ALEXANDRA ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 W 95TH ST, OAK LAWN, IL 60453-2453
(708) 422-2960
Mailing address
2336 TARA DR, ELGIN, IL 60123-4936
(847) 287-9302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056077624
IL
Other
Enumeration date
07/26/2018
Last updated
10/01/2024
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