Individual
GLORIA LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,OTRL
Contact information
Practice address
1217 GREEN BAY RD, WILMETTE, IL 60091-1643
(847) 251-1717
Mailing address
1217 GREEN BAY ROAD, WILMETTE, IL 60091
(847) 251-3712
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047449
OTREGISTRATION
—
Enumeration date
04/20/2007
Last updated
07/08/2007
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