Individual
HEATHER MARIE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6601 171ST ST, TINLEY PARK, IL 60477-3514
(708) 614-4525
Mailing address
21406 ENGLISH DR, FRANKFORT, IL 60423-2282
(708) 307-3612
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056010016
IL
225XP0200X
Pediatric Occupational Therapist
31005426A
IN
Other
Enumeration date
01/31/2013
Last updated
11/06/2019
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