Individual
MS. KACIE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
1055 175TH ST, SUITE 101, HOMEWOOD, IL 60430-4610
(708) 957-8326
(708) 957-8353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010795
IL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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