Individual
BAILEIGH E VANWANZEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1044 SAGAMORE PKWY W UNIT A, WEST LAFAYETTE, IN 47906-1446
(765) 250-4445
(765) 463-7664
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007576A
IN
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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