Provider Demographics
NPI:1407808371
Name:WEBB, KATHY J (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:J
Last Name:WEBB
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 S KOSTNER AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1126
Mailing Address - Country:US
Mailing Address - Phone:773-884-2116
Mailing Address - Fax:773-884-2113
Practice Address - Street 1:7601 S KOSTNER AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1126
Practice Address - Country:US
Practice Address - Phone:773-884-2116
Practice Address - Fax:773-884-2113
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist