Individual
BETHANY J WOODYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(718) 756-1000
Mailing address
801 S BRIGGS ST FL 2, JOLIET, IL 60433-9591
(815) 722-7157
(815) 722-1767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012202
IL
Other
Enumeration date
10/20/2017
Last updated
01/19/2020
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