Individual
CHLOE WIELGOPOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5675
Mailing address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5675
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.012134
IL
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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