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Individual

JANET ALONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
624 DAVIS TER, GLEN ELLYN, IL 60137-4001
(630) 790-3380
Mailing address
624 DAVIS TER, GLEN ELLYN, IL 60137-4001
(630) 790-3380

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-002916
IL

Other

Enumeration date
03/04/2012
Last updated
03/04/2012
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