Individual
KARLY RAE ROSENCRANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 W FRENCH STREET, STREATOR, IL 61364
(815) 672-2600
Mailing address
1548 OTTAWA AVE, OTTAWA, IL 61350-3418
(815) 993-4955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005188
IL
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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