Individual
MRS. KITORIA JENNIFER BARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7821 IDYLE WILD RD, DU QUOIN, IL 62832-4213
(618) 559-1890
Mailing address
7821 IDYLE WILD RD, DU QUOIN, IL 62832-4213
(618) 559-1890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009176
IL
Other
Enumeration date
05/29/2007
Last updated
03/19/2015
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