Individual
MS. KATHERINE E OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.002477
IL OCCUPATIONAL THERAPY LICENSE
IL
Enumeration date
10/31/2011
Last updated
08/10/2023
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