Individual
AUDREY WAECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(312) 243-8487
Mailing address
2717 W SAINT HELEN ST # 1, CHICAGO, IL 60647-4020
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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