Maria Teresa Koumantos

NPI #1659550812 in La Grange, Illinois

Provider Information

NPI Number: 1659550812
Entity Type: Individual
Name: Maria Teresa Koumantos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 24, 2007
Last Updated: Feb 4, 2010

Practice Location

Address: 18 N CATHERINE AVE
City: La Grange
State: Illinois
ZIP Code: 60525-5930
Phone: (708) 482-9453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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