Individual
MS. ANDREA LYNN BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
3703 WEST LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(841) 998-1188
Mailing address
4960 N MARINE DR #217, CHICAGO, IL 60640-3916
(773) 837-2301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
133990
IL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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