NPI 1578043121
Ava Marvin, MTBC
Practice location
- Address
- 1100 Lake Street Suite 100c, Oak Park, IL 60301
- Phone
- (708) 620-2373
- Mailing address
- 1100 Lake St STE 100c, Oak Park, IL 60301-1028
Registered specialties
Music Therapist
Primary
Registry record
- NPI
- 1578043121
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Aug 2018
- Record last updated
- 14 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.