Individual
KATHLEEN PUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W 22ND ST, LOMBARD, IL 60148-5417
(630) 812-7563
Mailing address
733 BURDETTE AVE, GLENDALE HEIGHTS, IL 60139-3367
(773) 354-8567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001226
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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