Individual
MRS. KATHRYN MARIE BORDENET-JINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1901 N. 13TH, HERRIN, IL 62948
(618) 942-3274
(618) 942-8240
Mailing address
1901 N. 13TH ST., HERRIN, IL 62948
(618) 942-3274
(618) 942-8240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002331
IL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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