Individual
KIMBERLY PATRICIA SALDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5934 W 64TH PL, CHICAGO, IL 60638-5420
(773) 892-8620
Mailing address
5934 W 64TH PL, CHICAGO, IL 60638-5420
(773) 892-8620
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005512
IL
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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