Individual
LAVON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 698-5259
Mailing address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 698-5259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009553
IL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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