Individual
MISS MARIA GUADALUPE MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2551 N NEVA AVE, CHICAGO, IL 60707-2015
(773) 882-0104
Mailing address
2551 N NEVA AVE, CHICAGO, IL 60707-2015
(773) 882-0104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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