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Individual

KATHRYN CHAMPAGNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6959 W 64TH ST, CHICAGO, IL 60638
(708) 257-4696
(773) 912-6954
Mailing address
1670 N CLAREMONT AVE APT 110, CHICAGO, IL 60647-5375
(989) 709-6328

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011860
IL

Other

Enumeration date
05/10/2017
Last updated
05/24/2018
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