Individual
ALEXIS VITTALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8707 SKOKIE BLVD STE 402, SKOKIE, IL 60077-2269
(847) 877-5210
Mailing address
5462 N LA CROSSE AVE, CHICAGO, IL 60630-1551
(224) 567-9989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015648
IL
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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