Individual
KATARINA KOZOMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1325 N ASTOR ST, CHICAGO, IL 60610-2343
(312) 371-2773
Mailing address
1325 N ASTOR ST, CHICAGO, IL 60610-2343
(312) 371-2773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010967
IL
Other
Enumeration date
10/17/2017
Last updated
03/17/2018
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