Individual
ANNA ESTABROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM, MT-BC
Contact information
Practice address
1301 W BARKER AVE, PEORIA, IL 61606-1707
(309) 256-3989
Mailing address
1301 W BARKER AVE, PEORIA, IL 61606-1707
(309) 256-3989
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IL
225A00000X
Music Therapist
Primary
11064
IL
Other
Enumeration date
08/13/2013
Last updated
03/17/2014
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