Individual
TIANA CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 OREGON TRL, OLYMPIA FIELDS, IL 60461-1112
(708) 595-5194
Mailing address
3305 OREGON TRL, OLYMPIA FIELDS, IL 60461-1112
(708) 595-5194
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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