Individual
TRACEY A HANDWERKER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7733 W GRAND AVE, ELMWOOD PARK, IL 60707-1820
(708) 453-0084
Mailing address
2628 N 74TH AVE, ELMWOOD PARK, IL 60707-1916
(773) 517-4818
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001645
IL
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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