Individual
COURTNEY GANSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 W 154TH ST, SOUTH HOLLAND, IL 60473-1229
(708) 333-7880
Mailing address
11367 LAVENDER LN, FRANKFORT, IL 60423-7849
(708) 466-0063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
393328
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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