Individual
JADE ALEXA PELLERITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11411 183RD ST, ORLAND PARK, IL 60467
(708) 478-1820
Mailing address
13937 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2079
(708) 341-8318
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056012576
IL
Other
Enumeration date
07/17/2018
Last updated
09/07/2018
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