Most Relevant Information
Provider Data
| NPI Number: | 1003359969 |
| Provider Name: | KATHLEEN NEEDHAM OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056010563 |
Most Important Dates
| Enumeration Date: | 11/28/2016 |
| Last Updated: | 10/19/2018 |
Provider Practice Location
2515 N CLARK ST
CHICAGO
IL
606142730
Practice Location Phone/Fax
| Phone: | 3122276974 |
| Fax: |
Provider Mailing Location
4304 W 107TH PL
OAK LAWN
IL
604535221
Provider Mailing Phone/Fax
| Phone: | 7082501901 |
| Fax: |