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Individual

KATHLEEN RAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
17837 80TH AVE, TINLEY PARK, IL 60477-5023
(708) 342-2500
(708) 342-1454
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-002387
IL

Other

Enumeration date
05/08/2006
Last updated
12/05/2018
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