Individual
JOANNA PODOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 48TH AVENUE CT, ROCK ISLAND, IL 61201-9213
(309) 558-0145
Mailing address
5720 N MARMORA AVE, CHICAGO, IL 60646-6210
(773) 653-4665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014316
IL
Other
Enumeration date
07/28/2021
Last updated
07/29/2021
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