Lymphatic Wellness Clinic

NPI #1134719479 in La Grange, Illinois

Provider Information

NPI Number: 1134719479
Entity Type: Organization
Organization Name: Lymphatic Wellness Clinic
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 20, 2021
Last Updated: Jan 24, 2022

Practice Location

Address: 120 S MADISON AVE
City: La Grange
State: Illinois
ZIP Code: 60525-2340
Phone: (708) 328-8594

Authorized Official

Name: SANDRA WALLIN, OT
Title: MANAGING MEMBER/OWNER
Phone: (708) 328-8594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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