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Kylie Wielgopolan, OT, CHT

NPI 1598512246 · on the registry since 2024

Practice

Address
4996 Illinois Route 159
Suite B
Maryville, IL 62062
Phone
(618) 288-4677

Registry record

Primary taxonomy
225XH1200X
225XH1200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-01

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