Individual
ISALYS ROSE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11950 S HARLEM AVE STE 201-8, PALOS HEIGHTS, IL 60463-1998
(708) 926-4090
Mailing address
2023 W COULTER ST APT 2R, CHICAGO, IL 60608-4125
(312) 505-2738
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056015261
IL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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