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Organization

KAE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHERINE BERTUCCI M.S., OTR/L (OCCUPATIONAL THERAPIST/ OWNER)
(708) 257-4696
Entity
Organization

Contact information

Practice address
5257 W 90TH ST, OAK LAWN, IL 60453-1311
(708) 257-4696
Mailing address
5257 W 90TH ST, OAK LAWN, IL 60453-1311

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
IL

Other

Enumeration date
04/29/2012
Last updated
04/29/2012
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