Individual
KRISTIN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4027 N FRANCISCO AVE, #1S, CHICAGO, IL 60618-2601
(773) 263-6981
(773) 681-7233
Mailing address
18210 EXCHANGE AVE, LANSING, IL 60438-5905
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
057-002725
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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