Individual
MISS KATHRYN E BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. T.
Contact information
Practice address
119A N PARKWAY DR, PEKIN, IL 61554-3932
(309) 642-6763
Mailing address
219 W PARK ST, TREMONT, IL 61568-7537
(309) 202-1180
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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