Individual
MICHELLE HOSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1533 HARRISON AVE, LA GRANGE PARK, IL 60526-1338
(630) 888-1018
Mailing address
1533 HARRISON AVE, LA GRANGE PARK, IL 60526-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011018
IL
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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