Individual
SANDRA M FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2440 HANBURY LN, MONTGOMERY, IL 60538-5049
(630) 301-7225
Mailing address
2440 HANBURY LN, MONTGOMERY, IL 60538-5049
(630) 301-7225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002402
IL
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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