Individual
MRS. CRYSTAL ANN PANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15009 BUNRATTY DR, LOCKPORT, IL 60441-9216
(815) 838-1730
Mailing address
15009 BUNRATTY DR, LOCKPORT, IL 60441-9216
(815) 838-1730
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002704
IL
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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