Individual
MELISSA RUTH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2000 W LAKE ST, HANOVER PARK, IL 60133-4302
(630) 556-2000
Mailing address
433 THUNDERBIRD TRL, CAROL STREAM, IL 60188-1523
(630) 335-3604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003310
IL
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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