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Individual

ALANA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 N GREENWOOD AVE, PARK RIDGE, IL 60068-2054
(847) 692-5600
Mailing address
558 E OAKWOOD BLVD UNIT 4W, CHICAGO, IL 60653-2366
(612) 987-0604

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005294
IL

Other

Enumeration date
11/01/2019
Last updated
11/01/2019
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