Individual
KAILA THIERJUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W. 31ST ST. STE 110, DOWNERS GROVE, IL 60515
(630) 929-0122
Mailing address
1101 W. 31ST ST. STE 110, DOWNERS GROVE, IL 60515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012848
IL
225X00000X
Occupational Therapist
056012848
IL
Other
Enumeration date
07/15/2019
Last updated
02/03/2022
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