Individual
MRS. KRISTEN RACHAEL CLOSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 5TH ST, LINCOLN, IL 62656-2619
(217) 735-2769
(217) 735-2769
Mailing address
141 N MISSOURI AVE, MORTON, IL 61550-2224
(309) 241-5835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002227
IL
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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