Individual
JULIE K WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
734 N HORIZON CT, LINDENHURST, IL 60046-7868
(847) 975-5508
(847) 265-4523
Mailing address
734 N HORIZON CT, LINDENHURST, IL 60046-7868
(847) 975-5508
(847) 265-4523
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
07/09/2007
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