Individual
KIMBERLY STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1150 S EUCLID AVE, ELMHURST, IL 60126-5178
(630) 333-4343
Mailing address
1150 S EUCLID AVE, ELMHURST, IL 60126-5178
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004698
IL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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