Individual
MARISOL PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PLAINFIELD RD, WILLOWBROOK, IL 60527-5300
(847) 707-6744
Mailing address
910 COMMUNITY DR, LA GRANGE PARK, IL 60526-1559
(773) 727-2535
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056011677
IL
Other
Enumeration date
10/28/2016
Last updated
04/09/2021
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