Shane M Liston, MOT
Shane M Liston, MOT is an Occupational Therapist in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
2272 95th St Ste 300Naperville, IL 60564-8952
Phone: (630) 428-1503
Fax: (630) 428-1542
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056012548 (IL) |
|---|
Record details
| NPI number | 1215422837 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | June 26, 2018 |
| Last updated in NPPES | February 8, 2021 |
| Certification date | February 8, 2021 |
| Mailing address | 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 |
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