Individual
RICHARD PAUL VANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
18318 EXCHANGE AVE, LANSING, IL 60438-2964
(708) 895-8173
Mailing address
18318 EXCHANGE AVE, 1B, LANSING, IL 60438-2964
(708) 895-8173
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001156
IL
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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