Individual provider · Type 1 NPI

Kathryn Boudouris, MS, OTR/L

Occupational Therapist · Mokena, IL

NPI number 1811231129 Active

Practice location

19100 Crescent Dr, #101
Mokena, IL 60448-7510

Mailing address

17064 Old Orchard Ln N
Lockport, IL 60441-7412

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.009950 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1811231129

Kathryn Boudouris, MS, OTR/L's National Provider Identifier is 1811231129, issued on Nov 27, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Mokena, IL. The record was last updated on Nov 27, 2012.