Individual
SARA MARIE KOHRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
704 S ILLINOIS ST, GENESEO, IL 61254-1782
(309) 944-6424
Mailing address
1620 113TH AVE, MILAN, IL 61264-4027
(309) 738-4810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005024
IL
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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