Individual
AMY MARIE RODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
4608 N LONG AVE APT 2, CHICAGO, IL 60630-3516
(773) 398-2909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010606
IL
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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