Individual
KRISTIN KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 BENT TREE DR, EFFINGHAM, IL 62401-3100
(217) 663-7543
Mailing address
504 BENT TREE DR, EFFINGHAM, IL 62401-3100
(217) 663-7543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011236
IL
Other
Enumeration date
10/21/2015
Last updated
01/27/2023
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