Individual
EILEEN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301 PYOTT RD STE 109, LAKE IN THE HILLS, IL 60156-9796
(847) 829-0922
Mailing address
351 TOWN PLACE CIR APT 204, BUFFALO GROVE, IL 60089-2420
(847) 878-2332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.006114
IL
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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