Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 056.009336 | IL |
NPI | 1003195611 |
---|---|
Provider Name | Mrs. Wendy Lynn Oinonen |
First Address | Carol Stream, IL 60188-4434 |
Second Address | Carol Stream, IL 60188-4434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2011 |
Last Update Date | 12/08/2011 |