Individual
EWA DEPCZYNSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/ L
Contact information
Practice address
3703 W LAKE AVE STE 300, GLENVIEW, IL 60026-1266
(847) 904-5022
Mailing address
1445 N HARLEM AVE APT C, OAK PARK, IL 60302-1273
(708) 351-0287
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002958
IL
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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