Individual
AUTUMN KIMBERLY SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
901 FLORSHEIM DR, LIBERTYVILLE, IL 60048-5200
(847) 816-9990
Mailing address
4485 W ROUNDSTONE WAY, WAUKEGAN, IL 60085-8610
(224) 305-1104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016288
IL
Other
Enumeration date
10/21/2024
Last updated
10/24/2024
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