Individual
LISA A FELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3707 WEST LAKE AVE., GLENVIEW, IL 60026
(847) 998-1188
Mailing address
27 BASSWOOD CT, BRISTOL, IL 60512-9727
(630) 553-0924
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002151
IL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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