Individual
KIMBERLY ANN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
802 ALLISON DR, TOLONO, IL 61880-9404
(217) 621-7775
Mailing address
802 ALLISON DR, TOLONO, IL 61880-9404
(217) 621-7775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.003596
IL
225X00000X
Occupational Therapist
Primary
056.015796
IL
Other
Enumeration date
08/03/2012
Last updated
09/10/2024
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