Individual
MS. LISA MARIE ALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
870 YOSEMITE TRAIL, ROSELLE, IL 60172-1200
(630) 338-5373
Mailing address
870 YOSEMITE TRAIL, ROSELLE, IL 60172-1200
(630) 338-5373
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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