Individual
KAELYN NICHOLE SCULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1435 JEFFERSON AVE, DOWNERS GROVE, IL 60516-1236
(630) 719-5840
Mailing address
1188 OXFORD LN, WHEATON, IL 60189-8410
(630) 777-7735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014593
IL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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