Individual
MS. MELINDA LAUREEN SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
145 N MILWAUKEE AVE, VERNON HILLS, IL 60061-4170
(847) 793-2470
Mailing address
16 LONDONDERRY LN, LINCOLNSHIRE, IL 60069-3900
(847) 572-9423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056007451
IL
225XG0600X
Gerontology Occupational Therapist
Primary
056007451
IL
225XL0004X
Low Vision Occupational Therapist
056007451
IL
314000000X
Skilled Nursing Facility
056007451
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
056007451
IL
Other
Enumeration date
03/20/2011
Last updated
03/20/2011
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