Individual
MRS. KELLI DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1864 HIGH GROVE LN, NAPERVILLE, IL 60540-9233
(708) 478-1820
Mailing address
6021 STEWART DR APT 513, WILLOWBROOK, IL 60527-3145
(773) 706-4012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
10/20/2017
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