Individual
MAYA MARIE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023005627
MO
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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