Individual
KEMBA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6758 N SHERIDAN RD APT 542, CHICAGO, IL 60626-4434
(773) 610-4256
Mailing address
6758 N SHERIDAN RD APT 542, CHICAGO, IL 60626-4434
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004156
IL
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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