Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1356354450 |
---|---|
Provider Name | Mrs. Susan K. Zajeski |
First Address | Orland Park, IL 60467-7156 |
Second Address | Orland Park, IL 60467-7156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |