Individual
MIRANDA CHRISTINE DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-3825
Mailing address
1027 COYOTE TRL, NEW LENOX, IL 60451-3142
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056016002
IL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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