Individual
MELISSA GAYLE SOUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
858 W ELLIS ST, PALATINE, IL 60067-5917
(847) 991-3528
Mailing address
858 W ELLIS ST, PALATINE, IL 60067-5917
(847) 991-3528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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