Individual
MRS. KAY ALBORN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
30746 ROBIN RD, PALMYRA, IL 62674-6644
(217) 484-6308
Mailing address
30746 ROBIN RD, PALMYRA, IL 62674-6644
(217) 484-6308
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
KW03100205P
IL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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