Individual
CAITLIN JANE REXROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1505 PATTON DR, MAHOMET, IL 61853-8116
(217) 586-3200
Mailing address
2405 CARISBROOKE DR, APT 12, CHAMPAIGN, IL 61820-2371
(314) 630-5654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242003726
IL
Other
Enumeration date
08/17/2015
Last updated
04/13/2017
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