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Individual

MICHELLE GEHLAAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
471 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3434
(815) 455-0550
Mailing address
471 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3434

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004932
IL

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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