Individual
LORNA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 COMMERCE DR STE 111, GRAYSLAKE, IL 60030-7807
(847) 548-3458
Mailing address
15 COMMERCE DR STE 111, GRAYSLAKE, IL 60030-7807
(847) 548-3458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008228
IL
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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