Most Relevant Information
Provider Data
NPI Number: | 1003530577 |
Provider Name: | ANNELISE WELLS |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 09/28/2022 |
Last Updated: | 09/28/2022 |
Provider Practice Location
2320 E LINCOLN HWY
NEW LENOX
IL
604519533
Practice Location Phone/Fax
Phone: | 8154750200 |
Fax: |
Provider Mailing Location
2320 E LINCOLN HWY
NEW LENOX
IL
604519533
Provider Mailing Phone/Fax
Phone: | 8154750200 |
Fax: |