Organization
JKCATAHAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN CATAHAY KSIAZKIEWICZ BSPT (OWNER/PHYSICAL THERAPIST)
(312) 508-8820
Entity
Organization
Contact information
Practice address
684 GREENBRIER LN, CRYSTAL LAKE, IL 60014-7011
(312) 508-8820
Mailing address
684 GREENBRIER LN, CRYSTAL LAKE, IL 60014-7011
(312) 508-8820
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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