LISA KAY SPODEN

CRYSTAL LAKE, IL
NPI1417111832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057000847)
Enumeration Date2008-07-15
Last Update Date2008-07-15
Business Address
Mrs. LISA KAY SPODEN COTA/L
471 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014-3434
Phone number: 815-455-0550
Mailing Address
Mrs. LISA KAY SPODEN COTA/L
471 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014-3434
Phone number: 815-455-0550