MRS. Modelyne Essien Kanam
NPI #1861128282 in Northbrook, Illinois
Provider Information
- NPI Number
- 1861128282
- Entity Type
- Individual
- Name
- MRS. Modelyne Essien Kanam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jul 27, 2022
- Last Updated
- Jul 27, 2022
Practice Location
- Address
- 1000 SUNSET RIDGE RD
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-4008
- Phone
- (224) 235-4639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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