Individual
KATE LYNN LISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17401 GARDEN VALLEY RD, WOODSTOCK, IL 60098-9156
(815) 236-8341
Mailing address
17401 GARDEN VALLEY RD, WOODSTOCK, IL 60098-9156
(815) 236-8341
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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