Kathryn M Deangelis MS,OTR/L

NPI 1700051570 - Occupational Therapist - 225X00000X

NPI Details
NPI 1700051570
Gender Female
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3703 W LAKE AVE
SUITE 200
GLENVIEW IL, 60026-5823, US
Phone (847) 998-1188
Fax
Business Location
3N226 LOBLOLLY LN
ST CHARLES IL, 60175-7656, US
Phone (630) 377-7092
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056006773
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According to our database, Kathryn M Deangelis MS,OTR/L NPI is 1700051570, taxonomy code is 225X00000X and license number is 056006773, license state is located at Illinois. Kathryn M Deangelis MS,OTR/L physically located at 3703 W Lake Ave, Glenview IL, 60026-5823. NPI Number Kathryn M Deangelis MS,OTR/L has the Individual type.

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1700051570 NPI number is provided on an as is basis without warranty of any kind. 1700051570 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn M Deangelis MS,OTR/L are for informational purposes only.