IndividualActive
Anne Kaczkowski, OTR/L
NPI 1770151607 · Occupational Therapist · Sullivan, IL
Provider details
- NPI number
- 1770151607
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Masonic Way
Sullivan, IL 61951-9467
Phone: (217) 728-3700
Approximate (ZIP-level) locationGet directions
Mailing address
1 Masonic Way
Sullivan, IL 61951-9467
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.