Individual
MS. LISA M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10300 VLG CIR DR, PALOS PARK, IL 60464-3541
(708) 332-8891
(708) 761-9367
Mailing address
10300 VLG CIR DR, PALOS PARK, IL 60464-3541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005138
IL
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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