Individual
BIANCA JORDAN GALLUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1900 W BELMONT AVE, CHICAGO, IL 60657-9582
(773) 729-2551
Mailing address
1348 N SUTTON PL, CHICAGO, IL 60610-2008
(516) 503-0314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014753
IL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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