Individual
JEANNETE ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 928-6815
Mailing address
498 E ROOSEVELT AVE, ONARGA, IL 60955-1336
(815) 644-1689
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005708
IL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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