Individual
CAROLYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
951 W TOUHY AVE, PARK RIDGE, IL 60068-3230
(847) 292-0151
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007668
IL
Other
Enumeration date
01/10/2007
Last updated
03/03/2011
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