Individual
LISA WESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7733 W GRAND AVE, ELMWOOD PARK, IL 60707-1820
(708) 453-0084
Mailing address
1702 LAKECLIFFE DR, C, WHEATON, IL 60189-8378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002427
IL
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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