Individual
KRISTINE VAN GENDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
512 LAVA BEDS WAY, NORTH LAS VEGAS, NV 89084-1213
(402) 844-0968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2061
NE
225X00000X
Occupational Therapist
6198
AZ
225X00000X
Occupational Therapist
OT-3238
NV
Other
Enumeration date
06/09/2015
Last updated
06/21/2023
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