Individual
NANCY M ROUDEBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
9016 W 22ND PL, NORTH RIVERSIDE, IL 60546-1021
(708) 447-3533
Mailing address
9016 W 22ND PL, NORTH RIVERSIDE, IL 60546-1021
(708) 447-3533
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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