Individual
KATHERINE LYNN MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10205 S ALBANY AVE, EVERGREEN PARK, IL 60805-3522
(773) 842-8161
Mailing address
10205 S ALBANY AVE, EVERGREEN PARK, IL 60805-3522
(773) 842-8161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008533
IL
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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