MISS Tiffany Marie Kanzler

NPI #1073870515 in Itasca, Illinois

Provider Information

NPI Number
1073870515
Entity Type
Individual
Name
MISS Tiffany Marie Kanzler
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Apr 23, 2012
Last Updated
Sep 13, 2012

Practice Location

Address
805 N WALNUT ST
Address 2
UNIT 2B
City
Itasca
ZIP Code
60143-2884
Phone
(386) 214-7525

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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