Individual
ALYSSA JASMINE OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1350 E TOUHY AVE # 130, DES PLAINES, IL 60018-3303
(815) 812-2355
Mailing address
4524 N WOLCOTT AVE APT 1A, CHICAGO, IL 60640-5240
(972) 965-4366
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13136
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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