NPI 1679004055

Joan Welch, COTA

Practitioner Occupational Therapy Assistant La Grange, IL

Practice location

Address: 4735 Willow Springs Rd, La Grange, IL 60525-6130
Phone: (708) 352-6900

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057001179 (IL)

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Registry record

NPI: 1679004055
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2017
Record last updated: 27 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.