Individual
ANNALISA M MINAERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2150 FOUNDERS DR, NORTHBROOK, IL 60062-2125
(847) 559-8700
Mailing address
4226 N BERNARD ST, CHICAGO, IL 60618-1104
(301) 538-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015387
IL
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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