Individual
MRS. CARLA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
15200 HARPER AVE, DOLTON, IL 60419-3112
(708) 502-1527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-001829
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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