Individual
MICHAEL PRESTON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
650 N KINZIE AVE, BRADLEY, IL 60915-1227
(815) 933-1666
Mailing address
886 S FOLEY AVE, KANKAKEE, IL 60901-4517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.005562
IL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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