Individual
KASSIDY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 SAINT JOSEPH DR, BLOOMINGTON, IL 61701-3638
(309) 663-8275
Mailing address
202 SAINT JOSEPH DR, BLOOMINGTON, IL 61701-3638
(309) 663-8275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016514
IL
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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