Individual
JUDITH VANVOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12911 S 71ST AVE, PALOS HEIGHTS, IL 60463-2166
(708) 224-5728
Mailing address
12911 S 71ST AVE, PALOS HEIGHTS, IL 60463-2166
(708) 224-5728
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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