Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 056006840 | IL |
NPI | 1003074295 |
---|---|
Provider Name | Terri Ellen Calhoun |
First Address | Elmhurst, IL 60126-2966 |
Second Address | Elmhurst, IL 60126-2966 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2008 |
Last Update Date | 25/05/2008 |