MISS LAVONNE BROCK, COTA/L

Occupational Therapy Assistant

Active Individual
NPI: 1740562602

Practice Address

3206 WOODWORTH PL
Hazel Crest, IL 60429

Phone: (773) 387-0513

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 057000445 (IL)

Frequently Asked Questions

NPI 1740562602 is the National Provider Identifier for MISS LAVONNE BROCK, COTA/L, a Occupational Therapy Assistant provider located in Hazel Crest, IL. This NPI was enumerated on September 15, 2011.
MISS LAVONNE BROCK, COTA/L practices at 3206 WOODWORTH PL, Hazel Crest, IL 60429.

Quick Facts

NPI
1740562602
Type
Individual
Enumerated
Sep 15, 2011
Last Updated
Sep 15, 2011

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