Individual
KATHERINE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 S LOMBARD ST, MAHOMET, IL 61853-9202
(217) 586-9999
(217) 210-9488
Mailing address
721 S ELM BLVD, CHAMPAIGN, IL 61820-5805
(217) 377-6437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007891
IL
Other
Enumeration date
01/29/2016
Last updated
02/13/2024
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