Individual
LAKSHMI MARIE ABAD GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
255 REVERE DR, NORTHBROOK, IL 60062-1564
(847) 412-4350
Mailing address
255 REVERE DR, NORTHBROOK, IL 60062-1564
(847) 412-4350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-008330
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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