Individual
ERIN MORANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5300 N ILLINOIS ST STE 101, FAIRVIEW HEIGHTS, IL 62208-3500
(618) 624-9300
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015173
IL
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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