Individual
MRS. KENDRA Q BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6333 S CAMPBELL AVE, 2ND FLR, CHICAGO, IL 60629-1217
(636) 439-9168
Mailing address
6333 S CAMPBELL AVE, 2ND FLR, CHICAGO, IL 60629-1217
(636) 439-9168
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2010032131
MO
224Z00000X
Occupational Therapy Assistant
057.003372
IL
Other
Enumeration date
01/11/2011
Last updated
06/25/2015
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