Individual
CHRISTINA WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
210 W WALNUT ST, CANTON, IL 61520-2444
(309) 647-5240
Mailing address
328 E PROSPECT ST, KEWANEE, IL 61443-2914
(309) 883-2838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.01283
IL
Other
Enumeration date
03/20/2019
Last updated
11/27/2023
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