Individual
MARISSA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8200 185TH ST STE AB, TINLEY PARK, IL 60487-9232
(708) 580-0440
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015853
IL
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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