Individual
REBECCA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
311 W DEPOT ST STE N, ANTIOCH, IL 60002-1500
(847) 838-8085
Mailing address
311 W DEPOT ST STE N, ANTIOCH, IL 60002-1500
(847) 838-8085
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004147
IL
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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