Individual
TINA FOLWARCZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8117 N OCONTO AVE, NILES, IL 60714-3066
(773) 320-9445
Mailing address
8117 N OCONTO AVE, NILES, IL 60714-3066
(773) 320-9445
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002057
IL
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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