Individual
PEGGY A SMUTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3703 W LAKE AVE, GLENVIEW, IL 60026-5823
(708) 532-1189
Mailing address
3703 W LAKE AVE, GLENVIEW, IL 60026-5823
(708) 532-1189
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057.000973
IL
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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