Individual
JENNIFER COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6300 N CALIFORNIA AVE, CHICAGO, IL 60659-1702
(773) 973-1900
Mailing address
620 W ADDISON ST APT 102, CHICAGO, IL 60613-4446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010149
IL
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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