Individual
KATHERINE ELIZABETH MASTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1443 N LARRABEE ST, UNIT B, CHICAGO, IL 60610-1101
(317) 371-4770
Mailing address
1443 N LARRABEE ST, UNIT B, CHICAGO, IL 60610-1101
(317) 371-4770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009060
IL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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