Individual
EMILY ELIZABETH CANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3652 W 111TH ST, CHICAGO, IL 60655-3333
(773) 253-9856
(773) 253-9876
Mailing address
11021 S KEATING AVE, APT 3NE, OAK LAWN, IL 60453-5653
(708) 653-7939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009082
IL
Other
Enumeration date
12/28/2012
Last updated
04/13/2015
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