Individual
KIMBERLY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
6000 W TOUHY AVE STE 202, CHICAGO, IL 60646-1248
(773) 774-4291
(773) 774-4527
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011932
IL
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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