Individual
KATHRYN MITROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2735 COUNTY ROAD 1250 N, HOMER, IL 61849-9760
(217) 202-8701
Mailing address
1505 PATTON DR, MAHOMET, IL 61853-8116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002834
IL
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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