Individual
VICTORIA PAIGE TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1532 CALUMET AVE, DYER, IN 46311-1588
(219) 515-4700
Mailing address
9010 S WOODLAWN AVE, CHICAGO, IL 60619-7929
(312) 342-8332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013243
IL
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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