Individual
KATHLEEN RILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE #774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
2890 10TH ST, CLEARLAKE, CA 95422-9676
(614) 563-0182
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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