Individual
KAYLA ILLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
55 CENTRAL IOWA DR, MARSHALLTOWN, IA 50158-4705
(641) 754-6120
Mailing address
1153 S 29TH AVE E, NEWTON, IA 50208-4905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IA
Other
Enumeration date
07/13/2018
Last updated
09/25/2019
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