Individual
JAMES STEVEN LYSAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
13259 S CENTRAL AVE, PALOS HEIGHTS, IL 60463
(708) 302-6350
Mailing address
16513 PEAR AVE, ORLAND PARK, IL 60467-5388
(708) 280-7256
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012883
IL
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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