Individual
LISA R REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2220 ARDAUGH AVE, CREST HILL, IL 60403-1849
(815) 730-0996
Mailing address
2220 ARDAUGH AVE, CREST HILL, IL 60403-1849
(815) 730-0996
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008596
IL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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