Individual
MRS. GRACE KING ANDERLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 E PELLS ST, PAXTON, IL 60957-1300
(217) 379-4361
Mailing address
1001 E PELLS ST, PAXTON, IL 60957-1300
(217) 379-4361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007095
IL
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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