Search › Illinois › 224Z00000X
Lavonne Brock, COTA/L
NPI 1740562602 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3206 Woodworth Pl
Hazel Crest, IL 60429 - Phone
- (773) 387-0513
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
- 2011-09-15
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