Individual
THERESE CHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
503 OTIS BOWEN DR, MUNSTER, IN 46321-4158
(219) 703-5171
Mailing address
18442 CLYDE AVE, LANSING, IL 60438-2542
(773) 530-6477
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056012014
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
31006394A
IN
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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