Individual
KATHLEEN PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N LOGAN AVE, THERAPY DEPARTMENT, DANVILLE, IL 61832-3715
(217) 443-3106
(217) 443-3187
Mailing address
3902 CROWWOOD DR, APT #203, CHAMPAIGN, IL 61822-3585
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003270
IL
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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