Individual
MISS KATIE LYNN CROOKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(775) 665-3184
Mailing address
534 W STRATFORD PL, APT 6W, CHICAGO, IL 60657-2666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009418
IL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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