Individual
KAY FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 NE MADISON AVE, PEORIA, IL 61602-1109
(309) 674-7874
Mailing address
216 TIMBER LN, EAST PEORIA, IL 61611-1920
(309) 645-4112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008469
IL
225X00000X
Occupational Therapist
114309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225X00000X
OCCUPATIONAL THERAPIST
IL
01
—
225X00000X
OCCUPATIONAL THERAPIST
TX
Enumeration date
08/07/2011
Last updated
08/24/2015
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