Lisa Ciosek, OT

NPI #1902029374 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1902029374
Entity Type: Individual
Name: Lisa Ciosek, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 750 KENILWORTH AVE
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-3806
Phone: (630) 790-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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