Individual
MARIA CORONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1860 W WINCHESTER RD STE 108, LIBERTYVILLE, IL 60048-5312
(847) 573-9486
Mailing address
710 ARTHUR AVE, LIBERTYVILLE, IL 60048-3128
(847) 902-9146
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.012414
IL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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