Individual
ANGELA KORENOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 STONE AVE, WATSEKA, IL 60970-7597
(815) 529-3595
Mailing address
203 STONE AVE, WATSEKA, IL 60970-7597
(815) 529-3595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004021
IL
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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