Individual
MISS GRACE DEARDURFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
2157 N DAMEN AVE, 2C, CHICAGO, IL 60647-6916
(773) 278-4769
Mailing address
2150 N HALSTED ST, 2R, CHICAGO, IL 60614-4417
(630) 542-5822
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.011657
IL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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