Individual
MISS CHELSEA LYNN WALLAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
3444 N ELAINE PL APT 1, CHICAGO, IL 60657-9276
(815) 915-7227
Mailing address
3444 N ELAINE PL APT 1, CHICAGO, IL 60657-9276
(815) 915-7227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013002
IL
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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