Most Relevant Information
Provider Data
| NPI Number: | 1003183351 |
| Provider Name: | CASSANDRA DENISE GILL COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 057.001482 |
Most Important Dates
| Enumeration Date: | 11/30/2011 |
| Last Updated: | 11/30/2011 |
Provider Practice Location
4735 WILLOW SPRINGS RD
LA GRANGE
IL
605256130
Practice Location Phone/Fax
| Phone: | 7083526900 |
| Fax: |
Provider Mailing Location
152 ENCLAVE CIR UNIT E
BOLINGBROOK
IL
604407849
Provider Mailing Phone/Fax
| Phone: | 6307831115 |
| Fax: |