Individual
MS. KATHLEEN MARIE BECKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
428 W LINCOLN HWY RM 1, DEKALB, IL 60115-3003
(309) 883-1798
Mailing address
428 W LINCOLN HWY RM 1, DEKALB, IL 60115-3003
(309) 883-1798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002479
IL
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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