Individual
JALENA SIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1513 N MAPLEWOOD AVE, CHICAGO, IL 60622-1644
(708) 257-8029
Mailing address
1513 N MAPLEWOOD AVE, CHICAGO, IL 60622-1644
(708) 257-8029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005041
IL
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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