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Individual

JESSICA LANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1850 JOHNS DR, GLENVIEW, IL 60025-1657
(847) 707-6744
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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