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Individual

MRS. BELLA LOPEZ SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
14601 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2641
(708) 349-8300
(708) 460-5136
Mailing address
16325 TANBARK DR, TINLEY PARK, IL 60477-1248
(708) 532-5441

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-000811
IL
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/22/2009
Last updated
04/22/2009
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