Individual
HEATHER SANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3815 E MAIN ST STE B, ST CHARLES, IL 60174-2488
(630) 584-7530
(630) 584-7762
Mailing address
3815 E MAIN ST STE B, ST CHARLES, IL 60174-2488
(630) 584-7530
(630) 584-7762
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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