Individual
MS. VICKI LYNNE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1001 E CHICAGO AVE, SUITE 151, NAPERVILLE, IL 60540-5526
(630) 305-4196
Mailing address
14743 INDEPENDENCE DR, PLAINFIELD, IL 60544-2769
(815) 254-3830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001254
IL
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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