Individual
MRS. JANESE LONDON PETUCHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2300 N CHILDRENS PLZ, #142, CHICAGO, IL 60614-3363
(773) 327-2821
Mailing address
339 W BARRY AVE, UNIT 25-C, CHICAGO, IL 60657-5653
(773) 327-2821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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