Individual
KATHRYN MICHELLE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
649 LEGACY PL, MASCOUTAH, IL 62258-2050
(618) 975-6833
Mailing address
715 W CHURCH ST, MASCOUTAH, IL 62258-1127
(628) 975-6833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014881
IL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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