Individual
TAYLOR QUELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189-5855
(815) 469-1500
Mailing address
8 E 9TH ST APT 1602, CHICAGO, IL 60605-4503
(574) 341-2383
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056013773
IL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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