Individual
MRS. KIMBERLY LYNN OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3976 W IL ROUTE 22, SUITE D, LONG GROVE, IL 60047
(847) 401-3266
Mailing address
1910 MORNING SONG CT, APT 101, SCHAUMBURG, IL 60194-4436
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013647
IL
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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