Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 057.003764 | IL |
NPI | 1023444684 |
---|---|
Provider Name | Valerie A Cimino |
First Address | Elmhurst, IL 60126-4980 |
Second Address | Elmhurst, IL 60126-4980 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2013 |
Last Update Date | 16/09/2013 |