Individual
MRS. CASSANDRA DENISE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
152 ENCLAVE CIR UNIT E, BOLINGBROOK, IL 60440-7849
(630) 783-1115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001482
IL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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