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Individual

AGNIESZKA WANDA BIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/ L

Contact information

Practice address
110 W SCHAUMBURG RD, STREAMWOOD, IL 60107-1459
(630) 444-7087
Mailing address
550 FREDERICK LN, HOFFMAN ESTATES, IL 60169-4813
(773) 965-0030

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002843
IL

Other

Enumeration date
09/27/2020
Last updated
09/27/2020
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