AVALON ARIELLE LANZ

MCHENRY, IL
NPI1902571425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005222)
Enumeration Date2021-08-16
Last Update Date2021-08-16
Business Address
AVALON ARIELLE LANZ COTA
550 RIDGEVIEW DR
MCHENRY, IL 60050
Phone number: 815-900-2500
Mailing Address
AVALON ARIELLE LANZ COTA
550 RIDGEVIEW DR
MCHENRY, ID 60050
Phone number:
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