Individual
ANGELA ANZALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 SOUTHFIELD LN, BYRON, IL 61010-1417
(847) 254-9894
Mailing address
2112 SOUTHFIELD LN, BYRON, IL 61010-1417
(847) 254-9894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
06/18/2019
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