Individual
LORINDA GOLAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4812 S AVERS AVE, CHICAGO, IL 60632-3627
(773) 317-1315
Mailing address
1308 JENNA DR UNIT A, SOUTH ELGIN, IL 60177-3425
(773) 317-1315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-44844
IL
224Z00000X
Occupational Therapy Assistant
Primary
057.005589
IL
Other
Enumeration date
06/06/2018
Last updated
06/03/2021
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