Individual
LORI HEAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006273
MI
Other
Enumeration date
07/17/2018
Last updated
09/17/2018
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