Individual
ASHLEY BOOMSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12637 S PARKSIDE AVE, PALOS HEIGHTS, IL 60463-2427
(708) 935-7162
Mailing address
12637 S PARKSIDE AVE, PALOS HEIGHTS, IL 60463-2427
(708) 935-7162
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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