Individual
LEAH ROSE FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2319 N ORCHARD ST, CHICAGO, IL 60614-0008
(773) 755-7791
Mailing address
5359 W WILSON AVE APT 1, CHICAGO, IL 60630-3881
(864) 546-1277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4185
MA
225X00000X
Occupational Therapist
Primary
056.015218
IL
Other
Enumeration date
06/05/2017
Last updated
11/18/2022
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