Individual
JAZMIN CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
2828 W MELROSE ST, CHICAGO, IL 60618-5847
(773) 387-4461
Mailing address
2828 W MELROSE ST, CHICAGO, IL 60618-5847
(773) 387-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011692
IL
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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