Individual
KRISTIN KATHRYN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4450 N PROSPECT RD STE C5, PEORIA HEIGHTS, IL 61616-6578
(309) 363-7594
Mailing address
10723 N HONEYCREEK LN, DUNLAP, IL 61525-8736
(309) 360-8112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
57003267
IL
Other
Enumeration date
09/26/2023
Last updated
09/28/2023
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