Individual
KILEY M WALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2401 INDIGO LN, GLENVIEW, IL 60026-1299
(847) 904-4717
Mailing address
2401 INDIGO LN, GLENVIEW, IL 60026-1299
(847) 904-4717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012388
IL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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