Individual
LISA MARIE GANDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
237 MARK LN, LAKE ZURICH, IL 60047-8978
(847) 231-2477
Mailing address
237 MARK LN, LAKE ZURICH, IL 60047-8978
(847) 231-2477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007836
IL
Other
Enumeration date
02/16/2007
Last updated
04/07/2023
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