Doctor Name: | KATHERINE VAN LEEUWEN |
NPI Number: | 1053398230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | 056-003684 |
Business Practice Address: | 2525 Kaneville Rd Geneva, IL - 601342578 |
Business Phone Number: | 6305841411 |
Business Fax Number: | 6305132630 |
Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
State: | IL |
Postal Code: | 604404909 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/28/2005 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056-003684 |
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: |