Individual
DR. PAYTON RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1095 PINGREE RD STE 209, CRYSTAL LAKE, IL 60014-1727
(847) 458-8890
(847) 458-8889
Mailing address
431 BRANDY DR APT B, CRYSTAL LAKE, IL 60014-7470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.016228
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056.016228
IL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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