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Individual

ALLISON GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
201 INDIAN TRL, LAKE IN THE HILLS, IL 60156-1321
(815) 345-1375
Mailing address
201 INDIAN TRL, LAKE IN THE HILLS, IL 60156-1321
(815) 345-1375

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004006
IL

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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