Organization
4619 N. RAVENSWOOD AVE. SUITE 204 CHICAGO, IL 60640
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA ELENA E HOROWITZ COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(773) 797-4155
Entity
Organization
Contact information
Practice address
4619 N RAVENSWOOD AVE STE 204, CHICAGO, IL 60640-4579
(773) 697-7333
Mailing address
4619 N RAVENSWOOD AVE STE 204, CHICAGO, IL 60640-4579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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