Individual
IRIS G BARRIENTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1756 W ROSEHILL DR APT 1E, CHICAGO, IL 60660-3933
(773) 807-9675
Mailing address
4538 N BEACON ST, CHICAGO, IL 60640-5519
(773) 275-7200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004996
IL
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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