Individual
KAITLYN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
750 PASQUINELLI DR STE 204, WESTMONT, IL 60559-1291
(630) 560-0136
Mailing address
750 PASQUINELLI DR STE 204, WESTMONT, IL 60559-1291
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.013932
IL
Other
Enumeration date
01/19/2021
Last updated
01/20/2022
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