Individual
KATHRYN ANN PRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23538 GRIST MILL LN, ATHENS, IL 62613-7322
(217) 414-3370
Mailing address
X, ATHENS, IL 62613-7322
(217) 414-3370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014015
IL
Other
Enumeration date
01/23/2019
Last updated
05/23/2024
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