Individual
MRS. KRISTEN THERESA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
339 9TH AVE, LA GRANGE, IL 60525
(708) 354-4660
Mailing address
648 N. RIVER RD., STE 100, NAPERVILLE, IL 60563
(773) 558-4075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005370
IL
Other
Enumeration date
05/20/2020
Last updated
03/13/2024
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