Individual
ELENA POP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L, LMT
Contact information
Practice address
1439 S FERN DR, MT PROSPECT, IL 60056-4526
(312) 217-5919
Mailing address
1439 S FERN DR, MT PROSPECT, IL 60056-4526
(312) 217-5919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.004769
IL
225700000X
Massage Therapist
Primary
227.010064
IL
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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