Individual
KELLY CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
41 W TAM O SHANTER DR, CRETE, IL 60417-6302
(708) 217-6101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002448
IL
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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