Individual
SANDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3703 W LAKE AVE, 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
18711 WILLOW AVE, COUNTRY CLUB HILLS, IL 60478-5548
(708) 957-1208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000640
IL
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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