Individual
MS. KAILAN NICOLE KATHRYN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21000 S. FRANKFORT SQUARE ROAD, SUITE D, FRANKFORT, IL 60423
(815) 469-1500
(815) 220-5619
Mailing address
21000 FRANKFORT SQUARE ROAD STE D (WESTSIDE CHILDREN'S, FRANKFORT, IL 60423
(815) 469-1500
(815) 220-5619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012526
IL
225XP0200X
Pediatric Occupational Therapist
056.012526
IL
Other
Enumeration date
04/04/2019
Last updated
11/18/2019
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