Individual
KATHERINE LENORE DEASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2315 N OAKLEY AVE APT 3, CHICAGO, IL 60647-3200
(904) 318-4691
Mailing address
2315 N OAKLEY AVE APT 3, CHICAGO, IL 60647-3200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012762
IL
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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