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Katie Jo Bushala, OTR/L

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

NPI number1376777516
StatusActive
Last updated in NPPESMay 1, 2009

Details

NPI
1376777516
Entity type
Individual (NPI-1)
Name
Mrs. Katie Jo Bushala
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2009
Last updated
May 1, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056003983ILYes

Practice location

3703 W Lake Ave
Suite 200
Glenview, IL 60026-5823

Phone 847-998-1188

Mailing address

3703 W Lake Ave
Suite 200
Glenview, IL 60026-5823

Phone 847-998-1188

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