Individual
KIRSTIN REBEKAH NORDMARK CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1002 OAK VALLEY DR, CARY, IL 60013-1573
(815) 404-7257
Mailing address
1002 OAK VALLEY DR, CARY, IL 60013-1573
(815) 404-7257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010152
IL
Other
Enumeration date
05/25/2013
Last updated
05/25/2013
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