Individual
KELLY J RAMLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. T.
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10760632
CAQH PROVIDER ID
IL
Enumeration date
01/15/2007
Last updated
09/16/2011
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