Individual
JOAN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001179
IL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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