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Individual

KONSTANTIA DICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
319 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-1968
(630) 856-6476
Mailing address
319 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-1968

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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