Individual
MELISSA ANN COLLURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 W WINCHESTER RD STE 108, LIBERTYVILLE, IL 60048-5312
(847) 573-9486
Mailing address
1860 W WINCHESTER RD STE 108, LIBERTYVILLE, IL 60048-5312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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