Individual
CANDICE KOKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21000 S FRANKFORT SQUARE RD, FRANKFORT, IL 60423-9385
(815) 469-1500
Mailing address
21000 S FRANKFORT SQUARE RD, FRANKFORT, IL 60423-9385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004919
IL
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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