Organization
COMMUNITY OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL REBECCA GEMBARA OTR/L (PRESIDENT)
(773) 710-3373
Entity
Organization
Contact information
Practice address
3000 S. PULASKI RD., CHGO, IL 60623
(773) 710-3373
(708) 422-5205
Mailing address
11025 S. MASON, CHGO RIDGE, IL 60415-2237
(773) 710-3373
(708) 422-5205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006659
IL
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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