Staci Chan, OTR/L

NPI #1962874917 in Oak Lawn, Illinois

Provider Information

NPI Number: 1962874917
Entity Type: Individual
Name: Staci Chan, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 28, 2015
Last Updated: Oct 28, 2015

Practice Location

Address: 4440 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2600
Phone: (708) 684-5369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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