Individual
DEMECHA EARLISIA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(312) 243-8487
Mailing address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005966
IL
Other
Enumeration date
06/13/2025
Last updated
06/15/2025
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