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Individual

MRS. ANN M WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
10247 W LINCOLN HWY, FRANKFORT, IL 60423
(815) 469-1117
(815) 469-1103
Mailing address
1956 CORNELL DR, NEW LENOX, IL 60451
(815) 462-3860

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IL

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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