Individual
ERICA L WAHLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
715 E RAYMOND RD, WATSEKA, IL 60970-9730
(815) 432-2934
Mailing address
324 N MAPLE ST, GILMAN, IL 60938-1445
(815) 383-5158
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056010117
IL
Other
Enumeration date
05/06/2013
Last updated
08/26/2015
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