Individual
MS. HOLLY MICHELLE EAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6320 159TH ST STE F, OAK FOREST, IL 60452-2780
(708) 687-8768
Mailing address
6729 WHITE TAILED LN APT 2W, TINLEY PARK, IL 60477-5094
(816) 260-2361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005183
IL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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