Individual
KIRSTEN SYMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4595
Mailing address
6403 SHILOH CLOSE, ROCKFORD, IL 61107-2663
(815) 985-1287
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004998
IL
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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