Individual
KRISTEN K WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 42ND AVE, SUITE 145, EAST MOLINE, IL 61244-4044
(309) 779-3190
Mailing address
465 42ND AVE, SUITE 145, EAST MOLINE, IL 61244-4044
(309) 779-3190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003977
IL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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