Individual
MRS. BETH ANN CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L.
Contact information
Practice address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-1415
(708) 335-4792
Mailing address
16153 CLIFTON PARK AVE, MARKHAM, IL 60428-4517
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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