Individual
MS. KIMBERLY KELLEHER RHODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 663-6461
(309) 661-8107
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-003079
IL
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
07/20/2005
Last updated
04/20/2022
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