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Individual

VICTORIA SLIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
5202 WASHINGTON ST, APT 202, DOWNERS GROVE, IL 60515-4772
(314) 681-4022

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003735
IL
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
057003725
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
057003735
OCCUPATIONAL THERAPY ASSISTANT
IL
Enumeration date
03/17/2015
Last updated
04/03/2020
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