Individual
KATHRYN AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4214 W CARROUSEL LN, PEORIA, IL 61615-2843
(815) 499-8951
Mailing address
4214 W CARROUSEL LN, PEORIA, IL 61615-2843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056012752
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
11/15/2018
Last updated
11/15/2018
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