Individual
CHRISTA WYMAN-HUNDRIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2946 S WALNUT RD, FREEPORT, IL 61032-9528
(815) 235-6173
Mailing address
396 S SNIPE HOLLOW RD, ELIZABETH, IL 61028-9450
(815) 543-5992
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004439
IL
224Z00000X
Occupational Therapy Assistant
080339
IA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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