Individual
MEGHAN MARIE CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PARKWAY, CHICAGO, IL 60612
(312) 942-2768
Mailing address
1714 W. SURF ST., CHICAGO, IL 60657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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