Individual
MR. DAVID WAYNE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
30776 N BLACKHAWK TRL, GRAYSLAKE, IL 60030-9792
(224) 355-9898
Mailing address
30776 N BLACKHAWK TRL, GRAYSLAKE, IL 60030-9792
(224) 355-9898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005451
IL
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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