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Individual

MAREEN ITTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
350 S GREENLEAF ST, SUITE 403, GURNEE, IL 60031-5709
(847) 596-7640
(847) 596-7641
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056011389
IL
225X00000X
Occupational Therapist
Primary
OTH-007857
AZ

Other

Enumeration date
05/24/2016
Last updated
10/20/2020
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