Individual
MRS. KATARZYNA J SIUDYLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1061 PLUM TREE DR, CRYSTAL LAKE, IL 60014-8371
(815) 529-3707
Mailing address
1061 PLUM TREE DR, CRYSTAL LAKE, IL 60014-8371
(815) 529-3707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005570
IL
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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