Individual
KIMBERLY DIPASQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W BUTTERFIELD RD, ELMHURST, IL 60126-4980
(630) 832-2300
Mailing address
420 W BUTTERFIELD RD, ELMHURST, IL 60126-4980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003722
IL
224Z00000X
Occupational Therapy Assistant
Primary
4395
CA
Other
Enumeration date
11/21/2012
Last updated
07/02/2019
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