Individual
KRYSTAL HALLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1815 N TOWANDA BARNES RD, NORMAL, IL 61761
(309) 585-0541
Mailing address
2560 E 269TH RD, PERU, IL 61354-9406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013493
IL
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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