Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 056.001377 | IL |
NPI | 1013065705 |
---|---|
Provider Name | Mrs. Kathleen C Piazzi |
First Address | Libertyville, IL 60048-2619 |
Second Address | Libertyville, IL 60048-3795 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 18/05/2010 |