Individual
ALEJANDRO ROBERTO HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 852-2949
(708) 503-3290
Mailing address
9417 CALEDONIA DR, TINLEY PARK, IL 60487-6172
(815) 302-1308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014842
IL
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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