Individual
LASHANDA GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3707 WEST LAKE AVE, SUITE 200, GLENVIEW, IL 60026
(847) 998-1188
Mailing address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 932-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006133
IL
Other
Enumeration date
04/30/2008
Last updated
12/04/2009
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