MS. Erica Ann Vandervort, COTA

NPI #1578017471 in Riverside, Illinois

Provider Information

NPI Number
1578017471
Entity Type
Individual
Name
MS. Erica Ann Vandervort, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Credential
COTA
Enumeration Date
Aug 8, 2016
Last Updated
Aug 8, 2016

Practice Location

Address
7222 W CERMAK RD
Address 2
STE 500
ZIP Code
60546-1422
Phone
(708) 442-0023

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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