Individual
MRS. KIRSTEN E KOKALJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 RIDGE BROOK DR, JOLIET, IL 60431-5348
(815) 436-5739
Mailing address
1509 RIDGE BROOK DR, JOLIET, IL 60431-5348
(815) 436-5739
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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