Individual
CHRISTINA FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1601 BUTTERFIELD TRL, KANKAKEE, IL 60901-2959
(815) 936-6500
Mailing address
1539 MAIN ST, CRETE, IL 60417-3121
(708) 368-4480
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004589
IL
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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