Individual
MRS. KERRI NICHOLE MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
804 HUNTLEY WOODS DR, CRETE, IL 60417-1387
(708) 672-4050
Mailing address
804 HUNTLEY WOODS DR, CRETE, IL 60417-1387
(708) 672-4050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006555
IL
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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