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Individual

CATHY L BORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9500
(217) 383-9721
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01663
IA
225X00000X
Occupational Therapist
Primary
056-007563
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
$$$$$$$$$
IL
01
01663
IOWA OTR/L LICENSE NO.
IA
01
056-007563
ILLINOIS OTR/L LICENSE NO
IL
Enumeration date
04/28/2006
Last updated
05/19/2020
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