Individual
EMILIE PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2833 N CLYBOURN AVE, CHICAGO, IL 60618-8470
(847) 604-0027
Mailing address
2316 W RICE ST, CHICAGO, IL 60622-4741
(847) 990-0158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015948
IL
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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