Colleen Koontz
Occupational Therapist in Shorewood, IL. Individual provider (NPI-1).
NPI number1093693566
StatusActive
Last updated in NPPESAug 23, 2025
Details
- NPI
- 1093693566
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Colleen Koontz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2025
- Certification date
- Aug 23, 2025
- Last updated
- Aug 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056004413 | IL | Yes |
Other names
- Colleen Petak (Former Name)
Practice location
860 Center CtShorewood, IL 60404-8534
Phone 815-773-9000 · Fax 815-773-9001
Mailing address
518 Sierra Rose CirJoliet, IL 60431-4909
Phone 815-351-2522
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Other Occupational Therapist providers in Shorewood, IL
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- Megan Elizabeth CladisNPI 1003583964
- Cynthia A Cook, OTR/LNPI 1023689064
- Patti-Ann Ebert, OTRNPI 1699028910
- Ashley GodawskiNPI 1164090064
- James D Haavig, OTRNPI 1184124810
- Lindsay Elizabeth Hoffman, OTNPI 1336473412
- Matthew Reiot Klebenow, O.T.NPI 1043567720
- Briana Nicole Kregas, OTR/LNPI 1942026810
- Kaela LauritoNPI 1851150528
All 24 Occupational Therapist providers in Shorewood · All 314 providers in Shorewood
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