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Individual

MARIA TERESA KOUMANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
303 WASHINGTON RD, GLENVIEW, IL 60025-4737
(847) 651-7009

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008258
IL

Other

Enumeration date
10/24/2007
Last updated
02/04/2010
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