Individual
MRS. ERIN RAWLING CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
724 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 886-0847
Mailing address
724 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 886-0847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013986
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
4943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41043100
—
WI
01
—
P00882931
RR MEDICARE
WI
05
—
Q016905
—
TN
Enumeration date
06/04/2007
Last updated
06/11/2024
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