Individual
KELLIE L TRUPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 SURRYSE RD, SUITE 250, LAKE ZURICH, IL 60047-3217
(847) 842-4057
(847) 842-4057
Mailing address
114 S WALNUT ST, PALATINE, IL 60067-6042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002342
IL
Other
Enumeration date
02/08/2008
Last updated
12/28/2010
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