Individual
KATHERINE ANN SCHICKEDANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Mailing address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057004444
IL
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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