KRISTINE LOUISE MADURA

CHICAGO, IL
NPI1124669148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057003716)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IN  298567)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
KRISTINE LOUISE MADURA COTA
4239 N OAK PARK AVE
CHICAGO, IL 60634-1410
Phone number: 219-614-8206
Mailing Address
KRISTINE LOUISE MADURA COTA
2415 NEW YORK AVE
WHITING, IN 46394-2145
Phone number: 219-614-8206