Individual
MICHELLE LYNN HANAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 WAUKEGAN RD STE 132, NORTHBROOK, IL 60062-1249
(847) 748-8733
Mailing address
600 WAUKEGAN RD STE 132, NORTHBROOK, IL 60062-1249
(847) 748-8733
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056010364
IL
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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