Individual
MS. KATHLEEN S. GORANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2081 N MAIN ST, CANTON, IL 61520-1032
(309) 647-6135
Mailing address
2081 N MAIN ST, CANTON, IL 61520-1032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007643
IL
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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