Individual
ALLISON GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
115 SAINT THOMAS WAY, COVINGTON, LA 70433-1532
(504) 481-9800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56007952
IL
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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