Individual
LATOYA GILES-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
357 WESTGATE DR, PARK FOREST, IL 60466-1357
(708) 250-3823
Mailing address
357 WESTGATE DR, PARK FOREST, IL 60466-1357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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