Individual
CHRISTINA LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3046 W WELLINGTON AVE APT 1, CHICAGO, IL 60618-6924
(815) 520-1115
Mailing address
3046 W WELLINGTON AVE APT 1, CHICAGO, IL 60618-6924
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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