Gondalia, Crystal S
Gondalia, Crystal S is an individual health care provider with primary practice located at 23915 W Main St Suite C, Plainfield IL 60544-1967. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gondalia, Crystal S can be contacted via phone (815) 577-8844.Contact Information
Primary practice address
23915 W Main St Suite C
Plainfield IL 60544-1967
Phone: (815) 577-8844
Fax: (815) 609-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056008654 | Illinois |
Profile Details
| NPI number | 1598907396 |
|---|---|
| LBN Legal business name | Gondalia, Crystal S |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2009 |
| Last updated | Nov 30th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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