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1457133431
ASHLEY TRAVIS
LOCKPORT, IL
NPI
1457133431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.015712)
Enumeration Date
2023-10-16
Last Update Date
2024-02-02
Business Address
ASHLEY TRAVIS OTR/L
16521 W 159TH ST
LOCKPORT, IL 60441-7900
Phone number: 815-709-4603
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Mailing Address
ASHLEY TRAVIS OTR/L
14509 W MELBOURNE PL
LOCKPORT, IL 60441-6014
Phone number: 708-979-9599
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