Individual
MRS. ANGELA P. TRAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1125 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1304
(847) 377-7346
Mailing address
1125 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002136
IL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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