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Individual

KIRSTEN AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
1739 N ELSTON AVE, CHICAGO, IL 60642-1544
(773) 672-7775
Mailing address
1739 N ELSTON AVE, CHICAGO, IL 60642-1544
(773) 672-7775

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013289
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056.013289
STATE OF LICENSE
Enumeration date
09/30/2019
Last updated
10/07/2025
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