Individual
KATHLEEN MELEI SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3351 HOBSON RD STE B, WOODRIDGE, IL 60517-1689
(630) 541-3652
Mailing address
16304 S FIELDSTONE PL, LOCKPORT, IL 60441-7683
(815) 416-8226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014274
IL
Other
Enumeration date
09/14/2021
Last updated
02/13/2024
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