Individual
ALEXA RAE WEITENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1910 1ST ST STE 2S, HIGHLAND PARK, IL 60035-3145
(847) 610-9649
(847) 786-2156
Mailing address
PO BOX 416501, BOSTON, MA 02241-6501
(194) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014776
IL
Other
Enumeration date
03/07/2022
Last updated
01/27/2026
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