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Individual

JENNIFER CYNTHIA KUBACIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-7100
(815) 337-4793
Mailing address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-7100
(815) 337-4793

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010930
IL
225X00000X
Occupational Therapist

Other

Enumeration date
07/27/2017
Last updated
10/19/2023
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