Individual
HOLLY PROWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
750 PASQUINELLI DR STE 204, WESTMONT, IL 60559-1291
(630) 560-0136
Mailing address
19 N STAFFIRE DR, SCHAUMBURG, IL 60194-3857
(630) 415-5044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005391
IL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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