Individual
HEATHER SKUPIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23704 WIDOWS RD, WILMINGTON, IL 60481-9399
(815) 274-6824
Mailing address
23704 WIDOWS RD, WILMINGTON, IL 60481-9399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008986
IL
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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