Individual
MAE ELISE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
(773) 467-5669
Mailing address
5438 N BERNARD ST, CHICAGO, IL 60625-4614
(773) 251-0120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015684
IL
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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