Individual
ABIGAIL WAYCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-008570
IL
Other
Enumeration date
01/14/2009
Last updated
10/22/2009
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