Individual
SUSAN LYNN ENGELGAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
398 HEARTLAND DR, NEW LENOX, IL 60451-3912
(815) 600-3159
Mailing address
398 HEARTLAND DR, NEW LENOX, IL 60451-3912
(815) 600-3159
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.009352
IL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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