Individual
MRS. ELIZABETH RENEE TABACSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1095 PINGREE RD, SUITE 119, CRYSTAL LAKE, IL 60014-1725
(847) 458-8890
(847) 458-8889
Mailing address
98 ELM ST, CRYSTAL LAKE, IL 60014-5910
(847) 515-6281
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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