Individual
MRS. PATRICIA B PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 DAWES AVE, GLEN ELLYN, IL 60137-6308
(630) 474-9455
Mailing address
531 DAWES AVE, GLEN ELLYN, IL 60137-6308
(630) 474-9455
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2173109
IL
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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