Individual
KYLE FERRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2103 N VETERANS PKWY STE 328, BLOOMINGTON, IL 61704-0919
(309) 948-6469
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014375
IL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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