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Individual

DR. CHRISTY LYN WALLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR-L

Contact information

Practice address
600 S PAULINA ST STE 1009B, CHICAGO, IL 60612-3806
(312) 942-8747
(312) 942-8747
Mailing address
212 N MARION ST # 1, OAK PARK, IL 60302-1910
(708) 660-8055
(708) 660-8055

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
IL

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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