Individual
KATHERINE LEIGH BERTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8955 SOUTHFIELD DR, BRIDGEVIEW, IL 60455-2036
(708) 257-4696
Mailing address
8955 SOUTHFIELD DR, BRIDGEVIEW, IL 60455-2036
(708) 257-4696
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.009366
IL
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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