Individual
CALISTA CAROLINE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3600 LINCOLN WAY, AMES, IA 50014-7595
(630) 575-1980
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
084636
IA
Other
Enumeration date
12/30/2016
Last updated
12/01/2020
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