Individual
LISA C JENZ-SIBLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1460 MELBOURNE ST, ELBURN, IL 60119-8402
(630) 365-6051
Mailing address
1460 MELBOURNE ST, ELBURN, IL 60119-8402
(630) 365-6051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.004648
IL
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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