Individual
MS. NATILIE K KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2381
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010024
IL
Other
Enumeration date
02/14/2013
Last updated
01/18/2017
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