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Individual

HEATHER LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
21000 S FRANKFORT SQUARE RD, UNIT D, FRANKFORT, IL 60423-9385
(815) 469-1500
Mailing address
21000 S FRANKFORT SQUARE RD UNIT D, FRANKFORT, IL 60423-9386

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.012522
IL

Other

Enumeration date
05/15/2018
Last updated
04/24/2022
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