Individual
EVANGELINA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1815 S WOLF RD, HILLSIDE, IL 60162-2110
(708) 236-0979
Mailing address
1815 S WOLF RD, HILLSIDE, IL 60162-2110
(708) 236-0979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009157
IL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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