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Individual

MRS. ELENA WONG ESPIRITU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1740 W TAYLOR ST, C-100, CHICAGO, IL 60612-7232
(312) 996-3700
Mailing address
1740 W TAYLOR ST, C-100, CHICAGO, IL 60612-7232
(312) 996-3700

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007561
IL
225X00000X
Occupational Therapist
108667
TX

Other

Enumeration date
01/25/2010
Last updated
01/25/2010
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