Individual
REAGAN LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2043 W BELMONT AVE STE 1, CHICAGO, IL 60618-6796
(773) 332-9439
Mailing address
2043 W BELMONT AVE STE 1, CHICAGO, IL 60618-6796
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056012446
IL
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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