Search › Illinois › 225X00000X
Minetta Wallingford, OTR/L
NPI 1174160634 · on the registry since 2019 · sole proprietor
Practice
- Address
- 423 Addison Rd
Riverside, IL 60546 - Phone
- (773) 715-8463
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois