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Individual

LISA ANN WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
5TH AVENUE AND ROOSEVELT ROAD, RECREATION THERAPY 11K, HINES, IL 60141
(708) 202-2261
(708) 202-2246
Mailing address
7020 CREEKSIDE DR, PLAINFIELD, IL 60586-1701
(815) 609-5099
(815) 609-5099

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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