Individual
JENNA KRISTINA KLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19015 S JODI RD, MOKENA, IL 60448-8514
(708) 478-1414
Mailing address
19015 S JODI RD, MOKENA, IL 60448-8514
(708) 478-1414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004344
IL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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