Individual
ALICIA BLASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
609 S MAPLE ST, MOUNT PROSPECT, IL 60056-3843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008948
IL
Other
Enumeration date
02/19/2010
Last updated
07/15/2022
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