Individual
KATELYN KIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S AUSTIN BLVD, CHICAGO, IL 60644-5311
(773) 287-5959
Mailing address
8819 W 85TH AVE, SCHERERVILLE, IN 46375-2513
(219) 670-7673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004471
IL
224Z00000X
Occupational Therapy Assistant
1604228713891
IN
Other
Enumeration date
09/15/2020
Last updated
09/21/2020
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