SHANTIE J DEPAZ

WARRENVILLE, IL
NPI1922052877
Former NameSHANTIE P JABONERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056-005839)
Enumeration Date2006-05-22
Last Update Date2014-06-23
Business Address
-- SHANTIE J DEPAZ OT
27650 FERRY RD SUITE 100
WARRENVILLE, IL 60555-3845
Phone number: 630-225-2663
Mailing Address
-- SHANTIE J DEPAZ OT
27650 FERRY RD SUITE 100
WARRENVILLE, IL 60555-3845
Phone number: 630-225-2663