Provider Demographics
NPI:1982158465
Name:KULPA-LINDGREN, KLAUDIA (OT)
Entity type:Individual
Prefix:
First Name:KLAUDIA
Middle Name:
Last Name:KULPA-LINDGREN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 SMALLEY COURT
Mailing Address - Street 2:
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118
Mailing Address - Country:US
Mailing Address - Phone:224-623-1410
Mailing Address - Fax:224-623-1410
Practice Address - Street 1:2314 SMALLEY COURT
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118
Practice Address - Country:US
Practice Address - Phone:224-623-1410
Practice Address - Fax:224-623-1410
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XP0200X
IL056010561225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics