Individual
CRYSTAL S GONDALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
23915 W MAIN ST, SUITE C, PLAINFIELD, IL 60544-1967
(815) 577-8844
(815) 609-1026
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008654
IL
Other
Enumeration date
03/25/2009
Last updated
11/30/2010
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