Individual
MRS. SARA ANN WALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
586 ERIC WAY, BOLINGBROOK, IL 60440-1325
(630) 362-4045
Mailing address
586 ERIC WAY, BOLINGBROOK, IL 60440-1325
(630) 362-4045
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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