Individual
MRS. ELIZABETH MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
4202 FOREST AVE, WESTERN SPRINGS, IL 60558-1342
(708) 246-1137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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