Individual
ANNE KACZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 MASONIC WAY, SULLIVAN, IL 61951-9467
(217) 728-3700
Mailing address
1 MASONIC WAY, SULLIVAN, IL 61951-9467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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