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Individual

MRS. PATTI-ANN EBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
850 BROOK FOREST AVE., UNIT L, SHOREWOOD, IL 60404
(815) 260-9253
Mailing address
850 BROOK FOREST AVE, UNIT M, SHOREWOOD, IL 60404
(815) 730-1800
(815) 730-1835

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056009357
IL
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
10/24/2012
Last updated
12/31/2014
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