Individual
KATHLEEN RUZANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
11144 1ST ST, MOKENA, IL 60448-1533
(773) 968-2594
Mailing address
11144 FIRST STREET, MOKENA, IL 60448
(773) 968-2594
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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