Crystal S Gondalia OTR

NPI 1598907396 - Occupational Therapist - 225X00000X

NPI Details
NPI 1598907396
Gender Female
Enumeration Date 03/25/2009
Last Updated 11/30/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
23915 W MAIN ST
PLAINFIELD IL, 60544-1967, US
Phone (815) 577-8844
Fax (815) 609-1026
Business Location
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Taxonomy Code 225X00000X
License State Illinois
License Number 056008654
Remove 1598907396 NPI Number

According to our database, Crystal S Gondalia OTR NPI is 1598907396, taxonomy code is 225X00000X and license number is 056008654, license state is located at Illinois. Crystal S Gondalia OTR physically located at 23915 W Main St, Plainfield IL, 60544-1967. NPI Number Crystal S Gondalia OTR has the Individual type.

1598907396 NPI number is provided on an as is basis without warranty of any kind. 1598907396 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal S Gondalia OTR are for informational purposes only.