Individual
KRISTA OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E STATE ST, MAHOMET, IL 61853-9586
(217) 419-4719
Mailing address
512 E STATE ST, MAHOMET, IL 61853-9586
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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