Individual
KIM S ZOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
550 FRONTAGE RD, SUITE 2415, NORTHFIELD, IL 60093-1202
(847) 441-5593
Mailing address
550 FRONTAGE RD, NORTHFIELD, IL 60093-1202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003261
IL
Other
Enumeration date
08/16/2010
Last updated
11/11/2010
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