Individual
DAWN ENNIS WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1308 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(877) 486-4140
Mailing address
1358 W SUNNYSIDE AVE # 1, CHICAGO, IL 60640-5583
(248) 840-1105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010041
IL
Other
Enumeration date
02/27/2013
Last updated
02/05/2014
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