Individual
ALEXANDRA KATHERINE KASAPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 383-3400
Mailing address
980 COUNTY ROAD 2550 N, CHAMPAIGN, IL 61822-9417
(217) 722-6642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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