Paige Pontrelli

NPI #1467688432 in La Grange, Illinois

Provider Information

NPI Number: 1467688432
Entity Type: Individual
Name: Paige Pontrelli
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 4, 2009
Last Updated: Jun 4, 2009

Practice Location

Address: 508 S LA GRANGE RD
City: La Grange
State: Illinois
ZIP Code: 60525-6732
Phone: (708) 354-0942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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