Individual
KELSIE JANE MOOSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
95 CARLETON AVE, GLEN ELLYN, IL 60137-5500
(630) 469-5555
Mailing address
8117 MIDDLEBURY AVE, WOODRIDGE, IL 60517-7722
(630) 559-5708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015521
IL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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