Individual
ALICE HALL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/OTR
Contact information
Practice address
6033 N SHERIDAN RD, N6, CHICAGO, IL 60660-3003
(773) 275-4800
(773) 751-2250
Mailing address
2700 W MELROSE ST, CHICAGO, IL 60618-5908
(773) 719-7017
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005742
IL
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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