Individual
CHELSEA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
600 ROBINWOOD DR, ROBINSON, IL 62454-3220
(618) 554-3192
Mailing address
600 ROBINWOOD DR, ROBINSON, IL 62454-3220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008399
IL
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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