Individual
LISA SELESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Mailing address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002134
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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