Individual
JESSICA KRYZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14612 SAINT LOUIS AVE, MIDLOTHIAN, IL 60445-2936
(773) 612-6817
Mailing address
14612 SAINT LOUIS AVE, MIDLOTHIAN, IL 60445-2936
(773) 612-6817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
057.004225
IL
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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