Individual
THOMAS KITUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
111 W HIGH ST, SUITE 112, ELKTON, MD 21921-5529
(410) 392-7027
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06777
MD
225X00000X
Occupational Therapist
OC002115L
PA
225X00000X
Occupational Therapist
U1-0000124
DE
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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