Individual
KIRSTEN ANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W GREENLEAF AVE, CHICAGO, IL 60626-2805
(312) 513-4036
Mailing address
1839 W WARNER AVE APT 3, CHICAGO, IL 60613-2098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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