Organization
BETH DODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ELLEN DODGE OTR/L (OCCUPATIONAL THERAPIST)
(773) 633-9662
Entity
Organization
Contact information
Practice address
820 NORTH BLVD, SUITE B, OAK PARK, IL 60301-1351
(708) 524-2445
Mailing address
223 S CUYLER AVE, OAK PARK, IL 60302-3301
(773) 633-9662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002463
IL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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