Individual
MRS. LAURA JEAN SANZANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24633 W PASSAVANT AVE, ROUND LAKE, IL 60073-1462
(847) 740-9050
Mailing address
24633 W PASSAVANT AVE, ROUND LAKE, IL 60073-1462
(847) 740-9050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006378
IL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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