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Individual

MRS. DENA LEIGH KIRK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
100 S PARK AVE, HERRIN, IL 62948-3610
(618) 942-3088
(618) 942-7116
Mailing address
14132 BEAR POINT RD, SESSER, IL 62884-2417
(618) 625-6280

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IL

Other

Enumeration date
12/15/2005
Last updated
07/08/2007
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