Individual
KATELYN SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
(708) 482-9454
Mailing address
1101 N KNIGHT AVE, PARK RIDGE, IL 60068-1920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011137
IL
Other
Enumeration date
08/31/2015
Last updated
10/29/2024
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