Individual
MS. BETH MARIE KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 W SHAMROCK LN APT 3G, MCHENRY, IL 60050-3140
(920) 366-5629
Mailing address
4302 W SHAMROCK LN APT 3G, MCHENRY, IL 60050-3140
(920) 366-5629
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056010229
IL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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