Individual
KRISTIN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
820 NORTH BLVD, OAK PARK, IL 60301-1351
(708) 524-2445
Mailing address
150 FOREST AVE UNIT 2014, OAK PARK, IL 60301-1463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014689
IL
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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