Search › Illinois › 224Z00000X
Patricia Fenner, COTA
NPI 1477759579 · on the registry since 2007 · sole proprietor
Practice
- Address
- 510 Bramble St
Manteno, IL 60950 - Phone
- (708) 707-9088
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois