Provider Demographics
NPI:1376723098
Name:PRINTEN PUSZYNSKI, KATHRYN ELIZABETH (MOT OTRL)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:PRINTEN PUSZYNSKI
Suffix:
Gender:F
Credentials:MOT OTRL
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:ELIZABETH
Other - Last Name:PRINTEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MOT OTRL
Mailing Address - Street 1:350 LEE ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062
Mailing Address - Country:US
Mailing Address - Phone:847-562-2100
Mailing Address - Fax:847-562-2112
Practice Address - Street 1:350 LEE ROAD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-562-2100
Practice Address - Fax:847-562-2112
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics