Individual
CYNTHIA M DODICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.001563
IL
225XE0001X
Environmental Modification Occupational Therapist
056.001563
IL
225XH1200X
Hand Occupational Therapist
056.001563
IL
225XN1300X
Neurorehabilitation Occupational Therapist
056.001563
IL
225XP0200X
Pediatric Occupational Therapist
056.001563
IL
Other
Enumeration date
03/30/2009
Last updated
03/31/2009
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