Individual
MS. ADRIENNE MARIE SELVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
602 REILLY CT, MINOOKA, IL 60447-9472
(815) 467-5945
Mailing address
602 REILLY CT, MINOOKA, IL 60447-9472
(815) 467-5945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005567
IL
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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