Individual
HEATHER RENE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
7421 MADISON ST, FOREST PARK, IL 60130-1575
(501) 730-5012
Mailing address
100 FOREST PL APT P26, OAK PARK, IL 60301-1113
(501) 730-5012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013095
IL
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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