Individual
MARISSA LYNN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTRL
Contact information
Practice address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
(847) 486-4145
Mailing address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
(847) 486-4145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007898
IL
Other
Enumeration date
05/07/2007
Last updated
02/19/2010
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