Kathi Sue Wieringa

NPI #1902991664 in Villa Park, Illinois

Provider Information

NPI Number: 1902991664
Entity Type: Individual
Name: Kathi Sue Wieringa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 830 S. ADDISON AVE.
City: Villa Park
State: Illinois
ZIP Code: 60181
Phone: (630) 620-4433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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