JENNIFER MIX

GLENVIEW, IL
NPI1659559508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.002462)
Enumeration Date2008-02-02
Last Update Date2013-11-14
Business Address
-- JENNIFER MIX COTA
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
Mailing Address
-- JENNIFER MIX COTA
4517 ROSLYN RD
DOWNERS GROVE, IL 60515-5803
Phone number: 708-670-8432
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