Provider Demographics
NPI:1457073645
Name:COUTURE, MARIA ANN (OTA/L)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ANN
Last Name:COUTURE
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 COUNTY ROAD 2300 E
Mailing Address - Street 2:
Mailing Address - City:GIFFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61847-9740
Mailing Address - Country:US
Mailing Address - Phone:217-714-6377
Mailing Address - Fax:
Practice Address - Street 1:2600 COMPASS RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8001
Practice Address - Country:US
Practice Address - Phone:877-787-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation