Individual
JORDAN MARIE MAISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
333 W IRVING PARK RD STE 206, ROSELLE, IL 60172
(630) 893-7995
Mailing address
40W310 LA FOX RD, SAINT CHARLES, IL 60175
(630) 444-0077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012498
IL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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