Individual
MARISSA MATIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
7250 N CICERO AVE STE 220, LINCOLNWOOD, IL 60712-1627
(877) 486-4140
Mailing address
1025 W ADDISON ST APT 633, CHICAGO, IL 60613-5186
(847) 951-1548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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