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Alysha Koller

Developmental Therapist in Oak Lawn, IL. Individual provider (NPI-1).

NPI number1386534857
StatusActive
Last updated in NPPESJul 7, 2025

Details

NPI
1386534857
Entity type
Individual (NPI-1)
Name
Alysha Koller
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 7, 2025
Certification date
Jul 7, 2025
Last updated
Jul 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

5420 W 88th St
Oak Lawn, IL 60453-1255

Phone 630-670-2373

Mailing address

5420 W 88th St
Oak Lawn, IL 60453-1255

Phone 630-670-2373

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Other Developmental Therapist providers in Oak Lawn, IL

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