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Individual

KATHRYN ELIZABETH RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1030 N CLARK ST, SUITE 647, CHICAGO, IL 60610-5467
(312) 238-7893
Mailing address
2930 N PINE GROVE AVE, #312, CHICAGO, IL 60657-5771
(773) 549-2961

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56007498
IL

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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