Individual
MISS KATHRYN TYLER CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1422 W WILLOW ST, CHICAGO, IL 60642-8978
(312) 399-0370
Mailing address
1314 W SCHUBERT AVE APT 3R, CHICAGO, IL 60614-1266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012703
IL
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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