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1861564155
KATIE MARIE FOGARTY
CHICAGO, IL
NPI
1861564155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056007202)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
Miss KATIE MARIE FOGARTY OTR
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-6171
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Mailing Address
Miss KATIE MARIE FOGARTY OTR
3553 N PAULINA ST UNIT G
CHICAGO, IL 60657-1226
Phone number: 317-258-5241
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