Individual
JASMINE N KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5443 S BROOKSTONE DR, ROCHELLE, IL 61068-9133
(815) 708-9187
Mailing address
5443 S BROOKSTONE DR, ROCHELLE, IL 61068-9133
(815) 708-9187
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005536
IL
Other
Enumeration date
02/12/2021
Last updated
03/29/2021
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