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Individual

MS. MARIBETH RUDER NEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRC

Contact information

Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525
(708) 352-3580
(708) 352-2715
Mailing address
140 MOUNTAIN LAUREL CT, ROMEOVILLE, IL 60446
(815) 407-0280

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IL

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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