Individual
MS. ANGEL V GENEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7273 FLAGG CREEK DR, LA GRANGE, IL 60525-5307
(312) 953-1424
(866) 483-0652
Mailing address
7273 FLAGG CREEK DR, LA GRANGE, IL 60525-5307
(312) 953-1424
(866) 483-0652
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
227004283
IL
225700000X
Massage Therapist
Primary
227004283
IL
Other
Enumeration date
04/16/2007
Last updated
07/16/2009
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