ANTHONY PONCE LUMANGLAS

GLENVIEW, IL
NPI1689849689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.002148)
Enumeration Date2008-04-30
Last Update Date2008-04-30
Business Address
Mr. ANTHONY PONCE LUMANGLAS COTA/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
Mailing Address
Mr. ANTHONY PONCE LUMANGLAS COTA/L
6954 N WOLCOTT AVE UNIT 3
CHICAGO, IL 60626-3126
Phone number: 847-848-5708
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