Individual
HALEY FOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
795 N RAND RD, LAKE ZURICH, IL 60047-2453
(847) 438-6100
Mailing address
32036 SAVANNAH DR, LAKEMOOR, IL 60051-6113
(574) 361-2455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013329
IL
Other
Enumeration date
11/14/2019
Last updated
11/14/2023
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