Individual
MARY LU KOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
221 US HWY. 41, SUITE G, SCHERERVILLE, IN 46375
(219) 322-2037
(219) 322-9787
Mailing address
21 - 162ND PLACE, CALUMET CITY, IL 60409
(708) 862-3423
(708) 862-3423
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05002036A
IN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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