Veronica Vandusen COTA/L

NPI 1023361664 - Occupational Therapist - 225X00000X

NPI Details
NPI 1023361664
Gender Female
Enumeration Date 10/19/2012
Last Updated 10/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3703 W LAKE AVE
SUITE 200
GLENVIEW IL, 60026-5823, US
Phone (847) 998-1188
Fax
Business Location
5422 SUN VALLEY DR
PLAINFIELD IL, 60586-6650, US
Phone (815) 263-6792
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 057002719
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According to our database, Veronica Vandusen COTA/L NPI is 1023361664, taxonomy code is 225X00000X and license number is 057002719, license state is located at Illinois. Veronica Vandusen COTA/L physically located at 3703 W Lake Ave, Glenview IL, 60026-5823. NPI Number Veronica Vandusen COTA/L has the Individual type.

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1023361664 NPI number is provided on an as is basis without warranty of any kind. 1023361664 is maintained by the National Plan & Provider Enumeration System. The contents of Veronica Vandusen COTA/L are for informational purposes only.