Individual
MICHELLE MERMELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4412 S PULASKI RD, CHICAGO, IL 60632-4011
(773) 847-3123
Mailing address
245 WAGNER RD, NORTHFIELD, IL 60093-3248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009330
IL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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