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Katlyn Fisk, OTD, OTR/L

Occupational Therapist in Chicago, IL. Individual provider (NPI-1).

NPI number1124568258
StatusActive
Last updated in NPPESMar 8, 2017

Details

NPI
1124568258
Entity type
Individual (NPI-1)
Name
Katlyn Fisk
Credential
OTD, OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2017
Last updated
Mar 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056011637ILYes

Practice location

345 E Superior St
Chicago, IL 60611-2654

Phone 815-245-6612

Mailing address

2970 N Sheridan Rd
1410
Chicago, IL 60657-5864

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