Individual
DANA WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 349-6544
Mailing address
338 PRAIRIE AVE, WINTHROP HARBOR, IL 60096-1922
(708) 349-6544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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