Provider Demographics
NPI:1821294224
Name:GUZMAN, RHONDA LEIGH (OTRL)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LEIGH
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 ANDERSON LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1206
Mailing Address - Country:US
Mailing Address - Phone:847-347-2474
Mailing Address - Fax:
Practice Address - Street 1:1513 ANDERSON LN
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1206
Practice Address - Country:US
Practice Address - Phone:847-347-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056004486225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist