Individual
KATHRYN WALDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4615 N RESERVE AVE, CHICAGO, IL 60656-4145
(773) 589-1285
Mailing address
4615 N RESERVE AVE, CHICAGO, IL 60656-4145
(773) 589-1285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010179
IL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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