Individual
MS. LOIS FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 811-3015
(610) 925-4355
Mailing address
7337 S YATES BLVD, 2ND FLOOR, CHICAGO, IL 60649-2074
(312) 282-6595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002337
IL
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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