Individual
SANTILA LATOI TERRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10702 W. 107TH ST., CHICAGO, IL 60643
(773) 779-5800
Mailing address
1723 W 107TH ST, CHICAGO, IL 60643-2703
(773) 732-7089
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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