Individual
AMELIA GENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20023 EVERETT LN, MOKENA, IL 60448-7765
(708) 792-3172
Mailing address
20023 EVERETT LN, MOKENA, IL 60448-7765
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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