Individual
GRACE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
640 W WRIGHTWOOD AVE APT 415, CHICAGO, IL 60614-2552
(847) 909-7460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016301
IL
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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