Individual
ZULEMA CARRILLO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
381 W TERRA COTTA AVE APT 4, CRYSTAL LAKE, IL 60014-3519
(630) 923-1756
Mailing address
381 W TERRA COTTA AVE APT 4, CRYSTAL LAKE, IL 60014-3519
(630) 923-1756
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005392
IL
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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