Individual
KA KEI LON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
500 ASBURY AVE, EVANSTON, IL 60202-2724
(800) 854-4589
Mailing address
1920 OLD SPRINGVILLE RD, CENTER POINT, AL 35215-5858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010295
IL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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