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Individual

JULIA PIECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5400 W 87TH ST, BURBANK, IL 60459-2913
(708) 423-1200
Mailing address
10541 HEATON CT, MOKENA, IL 60448-7520

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012296
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056.0122296
OCCUPATIONAL THERAPIST
IL
Enumeration date
08/17/2018
Last updated
08/17/2018
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