Individual
ALYSE MASTRODONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
998 PROGRESS DR, GRAYSLAKE, IL 60030-1671
(847) 548-3458
Mailing address
998 PROGRESS DR, GRAYSLAKE, IL 60030-1671
(847) 548-3458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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