Kristen Grider OT

NPI 1770761512 - Occupational Therapist - 225X00000X

NPI Details
NPI 1770761512
Gender Female
Enumeration Date 02/04/2008
Last Updated 02/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4080 N MILWAUKEE AVE
CHICAGO IL, 60641-1831, US
Phone (773) 545-1153
Fax (773) 545-1588
Business Location
4080 N MILWAUKEE AVE
CHICAGO IL, 60641-1831, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056-007991
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According to our database, Kristen Grider OT NPI is 1770761512, taxonomy code is 225X00000X and license number is 056-007991, license state is located at Illinois. Kristen Grider OT physically located at 4080 N Milwaukee Ave, Chicago IL, 60641-1831. NPI Number Kristen Grider OT has the Individual type.

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1770761512 NPI number is provided on an as is basis without warranty of any kind. 1770761512 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Grider OT are for informational purposes only.