Individual
ARIANNA P ROSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4908 W OAKDALE AVE, CHICAGO, IL 60641-5122
(773) 273-1497
Mailing address
4908 W OAKDALE AVE, CHICAGO, IL 60641-5122
(773) 273-1497
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005200
IL
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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