Individual
LISA MARIE KLASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 W OAKTON ST, ARLINGTON HEIGHTS, IL 60004-4602
(847) 368-7400
Mailing address
800 W OAKTON ST, ARLINGTON HEIGHTS, IL 60004-4602
(847) 368-7400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005970
IL
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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