Individual
COURTNEY ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3255 N PAULINA ST UNIT C, CHICAGO, IL 60657-1014
(773) 868-4769
(773) 435-6737
Mailing address
3255 N PAULINA ST UNIT C, CHICAGO, IL 60657-1014
(773) 868-4769
(773) 435-6737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009413
IL
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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