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Individual

KERRY COYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
10318 S HAMLIN AVE, CHICAGO, IL 60655-3114
(773) 319-1027
Mailing address
10318 S HAMLIN AVE, CHICAGO, IL 60655-3114
(773) 319-1027

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014320
IL
225X00000X
Occupational Therapist
17-04006
KS

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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