Individual
KATHRYN PESKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1571 W OGDEN AVE, LA GRANGE PARK, IL 60526-1723
(708) 579-3663
Mailing address
18056 BUCKINGHAM DR, ORLAND PARK, IL 60467-5575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.001607
IL
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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