Individual
MRS. MARIA ANGELICA BARRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
56005840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56005840
STATE LICENSE NUMBER
IL
Enumeration date
11/10/2006
Last updated
11/11/2014
Update your record
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