SearchIllinois224Z00000X

Crystal Panzer, COTA/L

NPI 1245406537 · on the registry since 2008 · sole proprietor

Practice

Address
15009 Bunratty Dr
Lockport, IL 60441
Phone
(815) 838-1730

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois