Individual
DIANNA MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2559 E 71ST ST, CHICAGO, IL 60649-2709
(773) 978-2120
Mailing address
2559 E 71ST ST, CHICAGO, IL 60649-2709
(773) 978-2120
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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