Individual
ERAYNA WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6736 S PAXTON AVE, CHICAGO, IL 60649-1110
(708) 537-0961
Mailing address
6736 S PAXTON AVE, CHICAGO, IL 60649-1110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005225
IL
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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