Individual
MICHELLE L LAFOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3531 W WILLOW KNOLLS DR, PEORIA, IL 61614-1078
(309) 683-6900
(309) 683-6902
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003821
IL
Other
Enumeration date
01/07/2011
Last updated
03/28/2013
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