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Individual

MIRIAM LISA KATZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3716 DAVIS ST, SKOKIE, IL 60076-1745
(847) 982-5822
(847) 982-5823
Mailing address
3616 GROVE ST, SKOKIE, IL 60076-1902
(847) 673-8038

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56004090
IL

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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