Individual
SALLY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 349-6544
Mailing address
265 HERITAGE DR, DYER, IN 46311-1391
(708) 349-6544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0570001109
IL
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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