THERESA BANZUELA

CHICAGO, IL
NPI1205317567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004963)
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
THERESA BANZUELA COTA/L
5320 W FLETCHER ST
CHICAGO, IL 60641-4944
Phone number: 773-971-3352
Mailing Address
THERESA BANZUELA COTA/L
5320 W FLETCHER ST
CHICAGO, IL 60641-4944
Phone number: 773-971-3352
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