Individual
CARL WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
8405 RUSSELL ST, CARY, IL 60013-3029
(847) 613-7656
Mailing address
8405 RUSSELL ST, CARY, IL 60013-3029
(847) 613-7656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004530
IL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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