Individual
WINNIFER LOLITA HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 W 87TH ST, BURBANK, IL 60459-2913
(708) 346-6236
Mailing address
8934 S PHILLIPS AVE, CHICAGO, IL 60617-3859
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056003771
IL
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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