Individual
ALEXANDRIA L CISMESIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4115 FAIRVIEW AVE, DOWNERS GROVE, IL 60515-2268
(630) 967-2000
Mailing address
24076 SE STARK ST, STE 200, GRESHAM, OR 97030-3376
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
337964
OR
Other
Enumeration date
05/17/2016
Last updated
01/14/2019
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