Doctor Name: | MRS. KATHLEEN C PIAZZI |
NPI Number: | 1013065705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | 056.001377 |
Business Practice Address: | 1352 S Milwaukee Ave Libertyville, IL - 600483795 |
Business Phone Number: | 8475491460 |
Business Fax Number: | |
Mailing Address: | 539 Burdick St, LIBERTYVILLE |
State: | IL |
Postal Code: | 600482619 |
Phone Number: | 8473626605 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056.001377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |